Remote Director Case Management Jobs in Berkeley, CA

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Internal Title: ECM Clinical Manager

Department: Enhanced Care Management (ECM)

Location: Remote with up to 25% travel - must be based in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, and Washington.

The ECM Clinical Manager is responsible for clinical oversight and management of ECM staff to address the client's medical and behavioral health needs and social determinants of health. The ECM Clinical Manager will communicate directly with ECM staff and occasionally with patients via telephone, telehealth, or during Interdisciplinary Care Team meetings (as needed) to discuss medication management/adherence, ensure appropriate follow-up with Primary Care Provider, Behavioral Health Provider, and other specialist(s). They will guide any crises encountered by ECM staff. The ECM Clinical Manager will collaborate with the client’s broader care team (PCP, BH clinicians, etc.) to provide client advocacy, ensure that the clients receive needed services, and measure progress toward the goals outlined in their patient-centered individualized care plan. The ECM Clinical Manager will monitor team progress and coach staff to succeed and manage performance where needed.

• Supervise a team of approximately 10-15 direct reports under the ECM team to ensure high-quality enrollments and care management services. The exact number of direct reports may fluctuate based on business needs.

• Oversee client outreach, enrollments, and the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary.

• Drive the team to meet key performance indicators (KPIs) effectively.

• Collaborate with the Director(s) of Enhanced Care Management to implement changes and process improvements.

• Provide clinical oversight approximately 30% of the time, including, but not limited to: supervision of clinical staff, clinical sign-offs, oversight of care plans, leading IDT meetings, and serving as a clinical consultant for complex clinical cases.

• Provide direct care management as needed to support organizational goals.

• Travel up to 20-25% may be required for training, meetings, and other business needs.

• Willing and able to work Monday through Friday 8:30am-5:00pm Pacific Time, with flexibility for potential evenings and weekends.

• Active, unrestricted RN license with the ability to obtain California licensure within 6 months of hire.

• Willingness to obtain additional state licensure as needed.

• 2 years of people management experience. 4 years preferred.

• 2-3 years of care management experience.

• 1-2 years of post-acute experience.

• Proven, results-driven leader with experience in change management in rapid-growth environments.

• Strong organizational and independent working skills.

• Proficient in Microsoft and Google applications; Salesforce experience is a plus.

• Excellent communication and motivational skills, including conflict resolution techniques.

• Working knowledge of lean Six Sigma methodology is preferred.

At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, and Washington, with a preference for candidates based in the Pacific Time Zone.

• Salary Range: $90,000 - $115,000 annually. Pay for this position will be based on several factors, including, but not limited to: your prior experience and skills related to the position, geographic location, company needs, and current market demands.

• California Salary Range: Due to state-specific market demands, the salary range for California is higher and falls between $100,000 - $125,000 annually.

• Great humans deserve great benefits! At Vynca, full time employees are eligible for benefits such as: medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, 401k, and access to other wellness benefits.

• The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.

• Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.

• Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.

• Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.

• Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.

• Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.

• Environmental Conditions and Physical Requirements: Works with Vynca patients/clients remotely and/or in-person. Successfully performs the essential duties and responsibilities of the position through the use of physical activities as described below:

  • Regularly requires sitting, standing, walking, talking, use of hands, listening, and observing.

  • Regularly requires working at a computer for an entire shift (with appropriate breaks).

  • Regularly requires use of laptop and video-conferencing technology.

  • Occasionally requires reaching, stooping, bending, kneeling, and lifting items weighing 25 pounds or less.

  • Occasional travel may be required to perform job duties, attend training, or company events.

Compensation Range: $90K - $125K