Director of Enhanced Care Management (ECM) - $2,000 SIGN ON BONUS
Los Angeles, CA
“Every person deserves compassion, dignity, and the safety of a place to call home.”
Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IF currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.
- Medical Insurance funded 80-94% by Illumination Foundation
- Dental and Vision Insurance
- Life, AD&D and LTD Insurance funded 100% by Illumination Foundation
- Employee Assistance Program
- Tuition Reimbursement
- 401(k) with Company Matching
- 15 days vacation per year
- 6 days sick per year
- 10 days holiday per year
- Mileage Reimbursement
The Director of Enhanced Care Management (ECM) will work under the Executive Director of Healthcare Services to provide oversight to the ECM program. This position will be responsible for the quality of ECM client care services, contract and program reporting, contract billing and reconciliation, staff selection and training, oversight of chart documentation, and development of case management and care coordination plans. This position also acts as the principal point of contact with managed care plans and serves as liaison to community medical and other service providers, hospitals and other institutions.
This position is eligible for a $2,000 sign-on bonus ($1,000 at 3 months of employment and $1,000 at 6 months of employment).
Program Management & Oversight
- Provide administrative oversight of all clinical contracts to ensure successful implementation and coordination of participant services, achievement of program performance measures and evaluation of services provided.
- Ensure program compliance with contracts, partnership agreements and all other funding requirements, program goals and stakeholder expectations.
- Monitor program implementation and outcomes against funder expectations and make programmatic changes as needed.
- Serve as the primary contact for all program matters including responding to managed care plans and outside partners, and collaborating with other IF programs.
- Work with Finance Department to monitor program budgets as compared to actuals; recommend and/or implement staffing changes to ensure fiscal sustainability.
- Provide direct supervision to all ECM staff, including evaluations and training, and monitoring of all outreach and enhanced case management activities.
- Plan and schedule ongoing workload assignments and adjust caseloads, taking into consideration variables such as client acuity and housing status, staff tenure, etc.
- Provide weekly supervision meetings with staff; provide regular and appropriate feedback including training, opportunities for professional growth, verbal and written improvement plans when needed, and regular evaluations.
- Conduct routine case consultation meetings with ECM team members, clinical consultant and housing specialist.
- Conduct regular monitoring of client case notes to ensure funder and program compliance and provide feedback to team members.
- Educate, build coalitions and represent ECM program to local agencies, coalitions, community stakeholders, law enforcement agencies, local government, residents and other organizations.
Reports, Contracts and Compliance
- Work autonomously and conduct critical data analysis to evaluate and improve service delivery.
- Review and authorize all program and contract reports prior to submission.
- Review and train on contract scope and services, and IF policies and procedures, to staff.
- Submit monthly invoices to funders and monitor payments for accuracy and completeness.
- Utilize funder reports on a daily basis to keep internal tracking up to date and communicate updates to staff, which could include: hospital inpatient census data, insurance eligibility, and point in time documentation outcomes.
- Review case notes on a weekly basis; review each enrolled member in Clinical Care Advance (CCA) to ensure all have up to date clinical documentation to ensure there are no delays in monthly payments.
- Review member insurance eligibility at the beginning of each month to ensure there are no service gaps.
- Receive and manage Targeted Engagement List (TEL) to ensure accurate, timely tracking of all outreach activities to satisfy funder outcomes and program goals.
- Work with the Quality Assurance Department to perform regular internal audits and to prepare for any external auditing that may occur. Attend all monitoring site visits and collaborate for necessary program improvements.
- Cooperate with all funder audit and/or monitoring activities.
- Valid RN, ACSW, LCSW or LMFT.
- 2 years of relevant experience.
- Supervisory experience working with vulnerable populations with strong skills in staff supervision, program development and implementation/development of policies and procedures.
- Basic computer skills, including the ability to send and receive emails and summarize data in spreadsheets.
- Valid CA Driver’s License and eligibility for company vehicle insurance.
- Bilingual in English and Spanish.
- Proficiency in Google Suite (Mail, Docs, Sheets, Calendar).