Job Details

Job Details Job Location

Gateways Hospital - Glendale - Glendale, CA

$133000.00 - $150000.00 Salary/year Description

Title of Position: Enhanced Care Management (ECM) Program Director
Location: Gateways Glendale Administration Office
Exempt/Non-Exempt: Exempt
Union/ Non-Union: Non-Union
Supervisor: Director of Business Development

About Gateways Hospital

Working together toward a brighter future.

Gateways Hospital and Mental Health Center, a non-profit organization located in Echo Park, has been serving the Greater Los Angeles area since 1953. Our qualified healthcare professionals treat all mental health conditions and provide services for children, adolescents, transitional aged youth and adults. We pride ourselves on offering quality mental health treatment to all individuals, whether funded or non-funded.

Gateways Hospital and Mental Health Center'sEnhancedCareManagement(ECM)programis a newly certifiedprogramserving ManagedCarePlan members with chronic mental health and social support needs. Candidates will have the opportunity to be a part of an exciting startup phase which will include newprogramoperations infrastructure development and implementation, recruiting, hiring and trainingprogramstaff, interface with managedcareplan managers, supporting in-community client outreach and engagement, and establishing collaborative partnerships with community stakeholders to enhance closed loop referrals and whole person client services.

This leadership position is perfect for a highly motivated and qualified individual ready to launch this newprogramthat will provide much needed coordinatedcareservices to one of the most vulnerable population of clients in our community. We invite you to consider joining our team and be a part of an exciting phase of expansion and growth for Gateways Hospital and Mental Health Center!

SUMMARY OF POSITION
The ECM Program Director will work closely with organization leadership to help lead and develop and manage the Enhanced Care Management (ECM) program. The director is responsible for managing the daily operations of the department, providing leadership and guidance to the staff, and ensuring that all policies and procedures are followed. They will work closely with other internal and external stakeholders to provide seamless care to clients and ensure that all services are delivered in an efficient and effective manner.

Works in collaboration with: Care coordinators, care navigators, case managers, medical/health care providers (primary care physicians, nursing staff, mental health works), community support organizations

ESSENTIAL DUTIES

• Reporting to the Director of Business Development, responsible for day-to-day operations of the ECM program, including budget oversight, training and workflow development and recruitment
• Oversight and guidance for direct reports and oversight of all downstream and front-line staff in the department
• Responsible for maintenance of quality and risk mitigation standards and plan for accounts in coordination with leadership, including assessing the effectiveness of strategies deployed
• Oversight of all required compliance reporting and auditing activities for the ECM program
• Directly hire or guide staff to hire, develop and lead a high performing team of clinical and non-clinical professionals that will deliver exceptional support for providers and care for the patient population while meeting quality, financial and client enrollment targets
• Develop and implement operational population health methodologies, including development of process- and outcomes-related key performance indicators (KPIs) for program operations and outcomes
• Provide effective leadership to stimulate a high performing culture
• As an operational leader, embrace and contribute to Gateways culture of process improvement with a focus on streamlining processes to add value to the organization
• Develop internal strategic initiatives, with aligned KPI to drive program success in managing related cost, quality, daily operations, and outcomes of member care coordination.
• Develop process to engage new and retain current clients to ensure the ECM program is meeting enrollment targets monthly
• Ensure compliance with all local, state and federal regulations and ethical standards
• Develop and implement policies and procedures to ensure quality care and compliance with regulatory guidelines
• Provide leadership and guidance to ECM staff, ensuring they are meeting performance standards and goals
• Oversee the coordination of care for clients, including assessments, care plans, and follow-up care
• Ensure that all documentation is completed accurately and in a timely manner
• Monitor and evaluate the effectiveness of the ECM program and services provided
• Analyze data and provide reports to leadership on the performance of the programs as well as required reporting to managed care plans

ESSENTIAL SKILLS

• Able to steer the overall direction of the team but also in firm command of the details
• Proven ability to execute and deliver on timelines
• Excellent verbal and written communication skills
• Excellent interpersonal, negotiation, and conflict resolution skills
• Excellent organizational skills
• Excellent time management skills
• Strong analytical and problem-solving skills
• Ability to prioritize tasks and delegate them when appropriate
• Ability to act with integrity, professionalism, and confidentiality
• Proficient with Microsoft Office Suite and related software
• Knowledge of federal, state, and local regulatory requirements as they relate to care management & social services and operate within these guidelines
• Proven success managing budget including labor, expenses & capital expenditures
• Flexibility to work weekends & evenings as the business requires

Qualifications

EDUCATION & CERTIFICATES

• Master's degree in an applicable field (e.g., MBA, MPH, MHA) strongly preferred or equivalent work experience in a healthcare and /or behavioral healthcare management position

EXPERIENCE/QUALIFICATIONS

• 5 - 10 years of experience in a health care setting, preferably focused on working with high needs and complex care clients
• Experience with start-up or new program development highly preferred
• Strong communication and interpersonal skills; experience in managing stakeholder relationships
• Experience and desire to train, motivate, develop, and lead diverse staff
• High level of proficiency in Excel and other Microsoft Office programs
• Skills related to effective project management, including strong work ethic, attention to detail, time management, ability to prioritize, problem solving, flexibility and willingness to learn.
• Experience with and deep understanding of all aspects of the California CalAIM program including ECM and Community Support (CS) service delivery
• Prior experience in at least two of the following areas strongly preferred:
  • Clinical Redesign
  • Behavioral Health
  • Population health management
  • Regulatory compliance (Medicare, Special Needs Plans, Medicaid, etc.)
  • Care model redesign for providers and payers
  • Care Management / Medical Management Care Models
  • SDOH and Community based organization (CBO) integration

REQUIREMENTS

• Must pass Department of Justice (DOJ), Federal Bureau of Investigations (FBI), and Community Care Licensing (CCL) background clearance.
• Valid California Driver's license.
• TB clearance.
• Driving record acceptable for coverage by Gateways insurance carrier.

Why Join Us?

• Mission-driven organization focused on improving mental health and wellness.
• Collaborative and supportive team environment.
• Competitive salary and comprehensive benefits package.
• Opportunities for professional growth and development.

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