Enhance Care Management (ECM) Program Manager

POSITION TITLE:Enhance Care Management (ECM) Program Manager                                                                                           

SALARY RANGE:$80,000 to $88,000

FLSA: Exempt

OVERVIEW:The ECM Program Manager is responsible for the leadership, operations, performance, and growth of Unity Care’s Enhanced Care Management (ECM) program. This role oversees ECM services delivered through UCG”s various programs and community settings, ensuring high-quality care coordination, regulatory compliance, timely documentation, and achievement of quality, productivity, financial, and youth outcome goals.

As with all UC staff, this position is responsible for adhering to the performance standards set forth in the UC Staff Employee and UC policies and procedures.

DIRECT REPORTS:

Case Manager(s)

QUALIFICATIONS

REQUIRED:

1. Bachelor’s degree in public health, Social Work, Healthcare Administration, Psychology, Counseling or related field.
2. Minimum of 2 years of supervisory or program management experience, including leading interdisciplinary teams and managing staff performance.
3. Minimum 4 years of experience working with at-risk adolescents.

1. Excellent interpersonal skills with demonstrated ability to work with a wide variety of personalities.

PREFERRED:

1. 3–5 years of progressively responsible experience in care management, case management, population health, managed care, healthcare operations, or a related field.
2. Experience in an FQHC, Medi-Cal managed care, or community-based healthcare setting preferred.

RESPONSIBILITIES INCLUDE (but not limited to):

1. Directs day-to-day ECM program operations, including service delivery across UCG’s programs, community, and delivery systems; establishes and maintains program workflows, policies, and procedures.
2. Supervises, coaches, and evaluates ECM staff; manages caseloads, productivity, and performance to meet program standards.
3. Ensures ECM services are delivered and documented in a timely, accurate, and compliant manner consistent with CalAIM, managed care contract, and organizational requirements.
4. Monitors program performance across enrollment, engagement, clinical quality, productivity, and financial metrics; identifies gaps and implements corrective action plans.
5. Collaborates with billing and finance to ensure accurate encounter documentation, claims submission, and reimbursement; resolves documentation and billing issues that affect program integrity.
6. Promotes interdisciplinary coordination among ECM staff, case manager, behavioral health team, and external providers to support continuity and integration of care.
7. Build and manage external referral partnerships with health plans, hospitals, clinics, community organizations, housing providers, and other key referral sources.
8. Serves as the primary operational liaison with managed care plan partners; leads UCG’s participation in plan audits, reporting, contract reviews, and performance improvement activities.
9. Lead program growth, enrollment, and financial sustainability efforts to support long-term operational success.
10. Develop and maintain a coordinated internal referral process across all eligible UCG programs to ensure efficient participant flow and appropriate placement.
11. Develops and sustains referral relationships with community-based organizations, housing providers, shelters, hospitals, and social service agencies to support patient access and care continuity.
12. Track and meet measurable performance expectations related to enrollment, referral conversion, productivity, reimbursement, and service quality.
13. Partner with internal and external stakeholders to strengthen referral pipelines and improve access to services.
14. Apply experience in care management, managed care, and partnership development to support program expansion and operational effectiveness.
15. Use data and performance metrics to monitor progress, identify barriers, and implement improvements that enhance program outcomes.
16. Identifies opportunities to improve, expand, or innovate program services; supports development and implementation of new initiatives as the program grows.
17. Prepares program reports, dashboards, and briefings for organizational leadership.
18. Supports regulatory reviews, contract compliance activities, and organizational audits as needed.
19. Maintains confidentiality of patient and organizational information in accordance with HIPAA and organizational policy.

Organization Duties:

1. Timely and accurate submission of timecards to supervisor
2. Time away from the Office, Program and/or Home (i.e. vacations, personal time off, leaves of absence) must be pre-approved by supervisor and requested based on process outlined in the UC Employee Handbook.
3. Maintain knowledge of staff handbook, policies, procedures, manuals, and pertinent documentation
4. Other duties as assigned.

ESSENTIAL DUTIES and QUALIFICATIONS:

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

1. Read and interpret documents and procedure manuals.  Write routine reports and correspondence.
2. Speak effectively in small setting and groups, i.e. UC employees, clients, or residents.
3. Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. 
4. Resolve problems involving several concrete variables in standardized situations.
5. Identify negative disruptive behaviors and redirect behavior using mediation and de-escalation techniques.
6. Employee is occasionally required to stand; walk; sit; use hands to handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl; talk or hear; taste or smell. 
7. Employee must occasionally lift and/or move up to 25 pounds. 
8. Employee may be required to make or receive physical contact with clients and residents,  such as  in the process of delivering First Aid/CPR or de-escalation interventions.
9. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
10. Must have CPR and First Aid certificate within 10 days of start date and maintain a current certificate with Human Resources.
11. Must clear a Department of Justice background check including fingerprinting before start date and maintain clearance.
12. Must be able to work in a DSS Community Care Licensed Facility.
13. Must clear a health screening, including TB before start date and maintain clearance.
14. Must have a car, valid California Driver License and be able to drive, have a clean driving record and maintain a clean driving record.
15. Meet and maintain the minimum vehicle liability and property insurance limits (to be insured by our insurance carrier for using vehicle for business purposes such as  transportation of residents or reimbursement of business-related mileage expenses).

Disclaimer: The duties and responsibilities described in this document are not a comprehensive list and additional tasks may be assigned to the employee from time to time and the scope of the job may change as necessitated by business demands at the sole discretion of the company.  The specific statements shown in each section of this description are not to be all-inclusive.  They represent typical elements and criteria to successfully perform the job.

The Unity Care Group is an Equal Opportunity Employer. The Unity Care Group does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.