Director of Enhanced Care Management

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION/EXPERIENCE:

1. Master’s degree in public health, Social Work, Nursing, Healthcare Administration, or a related field or relevant experience.
2. Minimum of 5-7 years of progressive leadership experience in care management, population health, or complex case management, preferably within an FQHC, community health setting, or managed care environment.
3. Demonstrated experience in program development, implementation, and scaling, particularly for new or revamped service lines.
4. In-depth knowledge and hands-on experience with CalAIM Enhanced Care Management (ECM) and Community Supports (CS) requirements, operations, and reimbursement models are essential.
5. Experience managing multidisciplinary teams, including clinical and non-clinical staff.
6. Experience with mobile health or community-based outreach programs is highly desirable.

Preferred:

1. Clinical license (RN, LCSW, LMFT) strongly preferred.
2. Project Management certification (e.g., PMP) or equivalent experience.
3. Bilingual (English/Spanish) proficiency.

LANGUAGE SKILLS:

Ability to read, analyze, and interpret complex documents such as policies and procedures, regulatory guidelines, contracts, and architectural drawings. Ability to compose professional reports, correspondence, and presentations. Ability to communicate effectively and persuasively, both verbally and in writing, with employees, vendors, regulatory agencies, executive leadership, and the Board of Directors.

KNOWLEDGE, SKILLS, AND ABILITIES:

1. Exceptional leadership, team-building, and motivational skills.
2. Strong analytical and problem-solving abilities, with experience using data to drive program improvement.
3. Excellent written and verbal communication skills, including presentation and negotiation abilities.
4. Demonstrated ability to build and maintain effective internal and external partnerships.
5. Proficiency in Electronic Health Records (EHRs) and other healthcare technology platforms.
6. Cultural humility and a deep understanding of the social determinants of health affecting underserved populations.
7. The ability to manage multiple priorities in a dynamic, fast-paced environment.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel and reach with hands and arms. The employee frequently is required to stand, walk, and sit. The employee is occasionally required to climb or balance, stoop, kneel, crouch or sit. The employee must frequently lift and/or move up to 10 pounds and occasionally life and/or move up to 30 pounds. The employee is occasionally required to ascend and descend one flight of stairs. Specific vision abilities required by the job include close vision, color vision, and ability to adjust focus.

SPECIAL REQUIREMENTS:

1. Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Gracelight practices.
2. This position requires frequent driving. A valid California driver license, reliable personal vehicle, current personal auto insurance as required by law, and an MVR sufficient to obtain and reasonably maintain insurability under agency auto liability policies are all essential job requirements.
3. A personal cell phone with reliable service and, if applicable, a data plan to use for business purposes.
4. May be required to obtain and maintain First Aid and CPR certification.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is often low. However, there are many times when there is a high ambient background noise of phones and multiple conversations. Must be able to screen out the background noise to concentrate on the work at hand.