Lead Care Manager - LA

Position Overview :

As a Lead Care Manager at Heritage Health Network (HHN) you will play a pivotal role in providing comprehensive care coordination for members through our Enhanced Care Management (ECM) program. Working as part of a multidisciplinary team you will ensure our members receive culturally responsive personcentered care tailored to address their diverse health and social needs.

This role combines remote work inoffice responsibilities and field engagements with work arrangements tailored to meet program and member needs.

Requirements

Key Responsibilities :

Primary Point of Contact : Serve as the primary liaison for members managing their care plans and ensuring seamless communication across the care team.

Care Plan Development : Collaborate with members their families and healthcare providers to create implement and regularly update personalized care plans.

Comprehensive Coordination : Work closely with other care managers healthcare providers and community resources to deliver integrated care and address social determinants of health.

Member Engagement : Provide education guidance and emotional support to members and their families to improve health outcomes and selfmanagement skills.

Gap Identification : Identify gaps in care or services and collaborate with the ECM team to develop effective solutions.

Documentation : Maintain accurate timely records of all interactions and services provided in compliance with HHN and ECM program requirements.

Team Collaboration : Offer guidance and support to other care team members fostering a collaborative and cohesive approach to care.

Qualifications :

Education : Bachelor s or Master s degree in Nursing Social Work or a related field.

Experience : Significant experience in care management particularly in communitybased settings with knowledge of MediCal benefits and ECM requirements.

PersonCentered Approach : Strong empathy cultural competence and commitment to providing individualized care.

Teamwork : Ability to work effectively within a multidisciplinary team environment.

Communication Skills : Exceptional interpersonal and communication skills with a focus on building trust and rapport with diverse populations.

Healthcare Knowledge : Indepth understanding of healthcare systems community resources and regulations.

Mobility : Willingness to travel within Los Angeles county for home visits and community engagement.

Bilingual Skills : Preferred to effectively communicate and serve our diverse member populations.

Benefits

Health Insurance : Eligible for medical dental and vision insurance from the first of the month following or coinciding with your start date.

Paid Time Off : Sick time paid holidays and vacation time to support worklife balance.

Compensation and Incentives : Competitive salary with annual merit increases and quarterly bonus opportunities.

Flexibility : Workfromhome options several days a week.

Professional Growth : Opportunities for career advancement and continued professional development.

Heritage Health Network offers a supportive community and opportunities for professional growth aiming to enhance both patient and employee experiences. Join us in making a lasting impact on community health.

Key Responsibilities : Primary Point of Contact : Serve as the primary liaison for members, managing their care plans and ensuring seamless communication across the care team. Care Plan Development : Collaborate with members, their families, and healthcare providers to create, implement, and regularly update personalized care plans. Comprehensive Coordination : Work closely with other care managers, healthcare providers, and community resources to deliver integrated care and address social determinants of health. Member Engagement : Provide education, guidance, and emotional support to members and their families to improve health outcomes and self-management skills. Gap Identification : Identify gaps in care or services and collaborate with the ECM team to develop effective solutions. Documentation : Maintain accurate, timely records of all interactions and services provided in compliance with HHN and ECM program requirements. Team Collaboration : Offer guidance and support to other care team members, fostering a collaborative and cohesive approach to care. Qualifications : Education : Bachelor s or Master s degree in Nursing, Social Work, or a related field. Experience : Significant experience in care management, particularly in community-based settings, with knowledge of Medi-Cal benefits and ECM requirements. Person-Centered Approach : Strong empathy, cultural competence, and commitment to providing individualized care. Teamwork : Ability to work effectively within a multidisciplinary team environment. Communication Skills : Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Healthcare Knowledge : In-depth understanding of healthcare systems, community resources, and regulations. Mobility : Willingness to travel within Riverside and San Bernardino counties for home visits and community engagement. Bilingual Skills : Preferred to effectively communicate and serve our diverse member populations.

Education

Education : Bachelor s or Master s degree in Nursing, Social Work, or a related field.