ECM/CICM Supervisor

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee, coordinate, and manage the day-to-day operations of ECM and CICM staff.

• Directly supervise Care Managers, Case Managers, Community Health Workers, and other designated personnel.

• Conduct individual supervision sessions, team meetings, and case consultations.

• Offer coaching, mentoring, and opportunities for professional development.

• Engage in recruitment, orientation, training, and onboarding processes.

• Monitor staff productivity, performance objectives, quality metrics, and utilization statistics.

• Execute performance evaluations and assist in developing corrective action plans.

• Manage daily ECM/CICM operations, workflow, member assignments, and caseload distribution.

• Oversee member engagement, outreach initiatives, and service delivery.

• Identify operational challenges and implement process enhancements.

• Provide guidance on complex member needs and high-risk cases.

• Ensure timely completion of assessments, care plans, care coordination activities, and related documentation.

• Review high-risk, escalated, or complex cases and participate in interdisciplinary case conferences.

• Promote person-centered care planning and holistic care principles.

• Facilitate collaboration with medical, behavioral health, social services, community-based organizations, and long-term care providers.

• Conduct chart reviews and audits of documentation.

• Ensure compliance with ECM/CICM requirements, health plan expectations, and DHCS regulations.

• Track quality indicators and corrective action efforts.

• Assist with internal and external audits and initiatives for quality improvement.

• Support the implementation of performance improvement plans.

• Maintain relationships with managed care organizations and community partners.

• Participate in health plan meetings, case conferences, and collaborative efforts.

• Perform additional duties as assigned.

⛳️ Requirements

• A Bachelor's degree in Social Work, Nursing, Healthcare Administration, Human Services, Public Health, or a related field is required.

• A Master's degree is preferred.

• At least 3 years of experience in case management, care management, social services, population health, or healthcare operations.

• A minimum of 1-2 years of supervisory or team leadership experience.

• Experience with Medi-Cal populations and complex care management programs is essential.

• Preferred experience with ECM, CalAIM, CICM, care coordination, or managed care programs.

• Capability to supervise Care Managers, Case Managers, Community Health Workers, and other assigned staff.

• Ability to monitor productivity, performance objectives, quality metrics, compliance, and utilization statistics.

• Proficiency in conducting chart reviews, documentation audits, performance evaluations, and corrective action plans.

• Ability to manage assessments, care plans, care coordination activities, encounters, member interactions, and documentation.

• Competence in facilitating interdisciplinary collaboration with medical, behavioral health, social service, community-based, and long-term care providers.

• Ability to support audits, quality improvement initiatives, and performance improvement plans.

• Frequent use of computer, telephone, and keyboard is required.

• Ability to drive up to 50% of the time.

• Capacity to lift and push/pull up to 25 lbs.

🏝️ Benefits

• Coaching, mentoring, and professional development opportunities.

• Reasonable accommodations for otherwise qualified applicants with disabilities.