Vynca

Enhanced Care Management

Director,EnhancedCareManagement

$145–160k United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Director candidates.

The Brief

“Director, Enhanced Care Management at Vynca. Skills: Enhanced Care Management, Program oversight, Stakeholder engagement. Direct and oversee operations of the enhanced care. Oversee Cal AIM program performance”

What You'll Achieve.

Meet CalAIM program performance; Meet contract goals and objectives; Meet contract regulatory requirements; Meet data requirements; Meet records standards; Meet billing requirements standards; Meet SLAs

Industry & Context.

Enhanced Care Management
Problems you'll solve

Resolve complex problems; Apply creative solutions; Apply analytical solutions

Eligibility Requirements

Occasional travel required, Access to reliable internet connection, Vaccinated against influenza

What They're Looking For.

Must Have

5+ years people management, 3+ years care management, Proficient with Microsoft and Google applications, General computer literacy, Adaptability to work collaboratively and cross-functionally in a remote environment, Ability to work with complex and multifaceted tasks and systems, Experience working with diverse populations, Ability to maintain sensitivity in all interactions, Experience working with multidisciplinary teams

Nice to Have

Bachelors Degree, Experience with Enhanced Care Management programs

What You'll Do.

Direct and oversee operations of the enhanced care

Oversee Cal AIM program performance

Manage provider and community collaboration/engagement

Oversee care management specialists

Manage interdependencies

Develop growth opportunities

Resolve complex problems

Support VP of Clinical Operations in strategy development

and manage Vynca’s Enhanced Care

Supervise Clinical Managers

Supervise Clinical Consultants

Supervise Lead Care Managers

Supervise support staff

Administer the ECM program

Develop linkage with healthcare plans

Create clear and easy access and entry into

Refine program policies and procedures

Implement program policies and procedures

Oversee day to day ECM program

Ensure ECM contract goals and objectives are met

Ensure contract regulatory and data requirements are met

Keep records to standards

Keep billing requirements to standards

Oversee care planning

Oversee crisis management

Oversee transition plans

Ensure staff training

Run EHR reports as needed

Oversee claims submission

Oversee receipt of payments

Represent the organization with the public

Represent the organization with local businesses

Represent the organization with employers

Represent the organization with health plans

Represent the organization with vendors

Represent the organization with regulatory bodies

Represent the organization with outside vendors

Provide reports to management regarding ECM

Provide reports to managed care plans regarding ECM

Oversee all aspects of running an efficient team

Focus on role definition

Focus on attainment of goals

Design standard operating procedures

Implement standard operating procedures

Design workflows for the department

Implement workflows for the department

Develop strategic messaging

Convey the company’s value proposition

Overcome patient objections

Manage quality assurance programs

Enhance the client experience

Align team member performance to business objectives

Report accurate business results in monthly operations reviews

Apply creative solutions to business problems

Apply analytical solutions to business problems

Pivot quickly when needed

Collaborate with other department leaders

Foster cross functional cooperation

Manage referral management with business development

Manage patient on-boarding with clinical operations

Exemplify company culture

Model core values of the organization

Ensure staff understands values and mission

Perform other related duties as assigned

How You'll Work.

Team & Collaboration

Cross-functional cooperation; Referral management; Patient on-boarding

Communication Scope

Reporting to management; Reporting to plans

Full Job Description

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. At Vynca, our mission is to provide comprehensive care for more quality days at home. ABOUT THE JOB The Director of Enhanced Care Management is responsible for directing and overseeing operations of the enhanced care management program. This includes responsibility for Cal AIM program performance, provider and community collaboration/engagement, oversight of the care management specialists, policy development, process improvement/program enhancements, managing interdependencies and risks, and developing growth opportunities. The director works on projects from the point of conceptualization up to the implementation stages, and is responsible for resolving complex problems. The director supports the VP of Clinical Operations in the development of strategy that results in better health quality outcomes, better patient care, and lower cost of care. The Director of Enhanced Care Management will develop, implement, supervise, and manage Vynca’s Enhanced Care Management Program. They will supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff. This individual will be responsible for administering the ECM program, developing linkage with healthcare plans, outreach, creating clear and easy access and entry into the ECM program, program evaluation, and staff supervision. WHAT YOU’LL DO - Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff - Refine and implement program policies and procedures - Oversee day to day ECM

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