Heritagehealthnetwork
Enhanced Care Management (ECM) Office Manager - Riverside, CA
Heritagehealthnetwork, California, Missouri, United States, 65018
Enhanced Care Management (ECM) Office Manager - Riverside, CA
Riverside, United States | Posted on 09/23/2025 Heritage Health Network (HHN) is a community-centric healthcare network committed to improving health outcomes. Our approach is centered around Enhanced Care Management (ECM) and treating the individual, not just the condition. Job Description
The Enhanced Care Management Office Manager is responsible for the operational performance of the Lead Care Manager (LCM) team, ensuring consistent achievement of health plan service delivery targets and driving accountability through data, coaching, and compliance oversight. Core Responsibilities
Ensure all LCM teams consistently meet or exceed performance outcomes, including serviceability and assessment completion targets. Enforce performance improvement plans for underperforming LCMs. Track and address gaps in SCR completion, documentation, and compliance. Daily Operational Oversight
Review Care Director ECM Dashboard and monitor TOCs, care plan completion, unassigned members, and outreach needs. Analyze Power BI dashboards for enrollment, productivity, and health plan KPIs and escalate variances. Conduct daily LCM productivity reviews and address overdue contacts or service gaps. Coaching & Engagement
Provide real-time coaching to underperforming LCMs on service gaps, documentation, and compliance. Hold weekly scorecard reviews with LCMs in their 90-day ramp-up or those below serviceability goals. Reinforce best practices in outreach, assessments, care planning, and member engagement. Requirements
Bachelor’s degree in health administration, social work, or related field preferred. 3+ years in care management, ECM/CalAIM, or Medi-Cal program operations a plus. 10 years of healthcare office management experience. Strong knowledge of eClinicalWorks. Proven ability to manage frontline care teams to strict metrics. Preferred qualifications include Lean/Six Sigma or process improvement experience and strong coaching skills. We offer a competitive salary, annual merit increases, bonus opportunities, and benefits including medical, dental, 401k, and vision insurance.
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Riverside, United States | Posted on 09/23/2025 Heritage Health Network (HHN) is a community-centric healthcare network committed to improving health outcomes. Our approach is centered around Enhanced Care Management (ECM) and treating the individual, not just the condition. Job Description
The Enhanced Care Management Office Manager is responsible for the operational performance of the Lead Care Manager (LCM) team, ensuring consistent achievement of health plan service delivery targets and driving accountability through data, coaching, and compliance oversight. Core Responsibilities
Ensure all LCM teams consistently meet or exceed performance outcomes, including serviceability and assessment completion targets. Enforce performance improvement plans for underperforming LCMs. Track and address gaps in SCR completion, documentation, and compliance. Daily Operational Oversight
Review Care Director ECM Dashboard and monitor TOCs, care plan completion, unassigned members, and outreach needs. Analyze Power BI dashboards for enrollment, productivity, and health plan KPIs and escalate variances. Conduct daily LCM productivity reviews and address overdue contacts or service gaps. Coaching & Engagement
Provide real-time coaching to underperforming LCMs on service gaps, documentation, and compliance. Hold weekly scorecard reviews with LCMs in their 90-day ramp-up or those below serviceability goals. Reinforce best practices in outreach, assessments, care planning, and member engagement. Requirements
Bachelor’s degree in health administration, social work, or related field preferred. 3+ years in care management, ECM/CalAIM, or Medi-Cal program operations a plus. 10 years of healthcare office management experience. Strong knowledge of eClinicalWorks. Proven ability to manage frontline care teams to strict metrics. Preferred qualifications include Lean/Six Sigma or process improvement experience and strong coaching skills. We offer a competitive salary, annual merit increases, bonus opportunities, and benefits including medical, dental, 401k, and vision insurance.
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