Job Description

Job Description

Job Description

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, person-centered care tailored to address their diverse health and social needs.

This role combines remote work, in-office responsibilities, and field engagements, with work arrangements tailored to meet program and member needs.

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:

• 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 Orange County for home visits and community engagement.
  

• Bilingual Skills: Required to communicate effectively and serve our diverse member populations. Must be fluent in Spanish.
  

• 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 work-life balance.
  

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

• Flexibility: Work-from-home 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.

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