Enhanced Care Management Program Manager

Pacific Health Group

. Lead the Enhanced Care Management program for vulnerable populations across California .

Posted 10/15/2026full-timeHumboldt County • California • United StatesMid-LevelSenior💰 $80,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Enhanced Care Management, including program leadership, data-driven evaluation, and compliance with Medicaid/Medicare standards. Proven ability to mentor staff, manage budgets, and enhance member engagement through effective communication and operational strategies.

Highest-signal resume keywords

Enhanced Care ManagementHealthcare ManagementData-Driven Program EvaluationLeadership SkillsCare Management Principles

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Program LeadershipBudget ManagementQuality Assurance ProtocolsData AnalysisCare ManagementPerformance MetricsTelehealth ImplementationStaff SupervisionRegulatory CompliancePerson-Centered Care

Soft Skills

Communication SkillsTime ManagementMentoringTeam CollaborationProblem Solving

Tools & Technologies

Documentation SystemsCase Management PlatformsCommunication ToolsData Tracking Systems

Certifications & Qualifications

Bachelor’s or Master’s in Healthcare AdministrationValid California Driver's License

Industry Keywords

Medicaid ProgramsMedicare ProgramsHealthcare Delivery SystemsHealth EquityVulnerable Populations

About the role

Key responsibilities & impact

Lead the Enhanced Care Management program for vulnerable populations across California
Supervise, mentor, and guide Lead Care Managers across multiple counties
Conduct weekly one-on-ones, review caseloads, provide coaching, and lead weekly team meetings
Meet in person with staff regularly
Establish benchmarks and metrics to track program performance
Implement quality assurance protocols and standardized workflows
Monitor staff performance and use data to identify trends and improvement opportunities
Ensure members receive in-person visits and high-quality care
Monitor documentation and support challenging cases
Improve member engagement and satisfaction
Liaise with hospitals, providers, and community organizations
Collaborate with data and compliance teams to track outcomes and maintain regulatory standards
Strengthen care-transition partnerships and reduce hospital readmissions
Develop and manage program budgets, allocate resources, and track expenditures
Adjust staffing and resources based on member needs and program priorities
Identify opportunities to enhance program effectiveness
Pilot initiatives such as telehealth to expand access to care
Stay current on best practices and integrate improvements
Lead operational huddles and bi-weekly case conferences
Develop mentorship programs and regional staff trainings
Prepare quarterly performance reports and maintain stakeholder relationships

Requirements

What you’ll need

Bachelor’s or Master’s in Healthcare Administration, Public Health, Nursing, or related field
5+ years in healthcare management, including 3+ years in care/case management
2+ years managing Enhanced Care Management or intensive care management programs
Understanding of care management principles and healthcare delivery systems
Experience with Medicaid/Medicare programs and ECM program requirements
Strong analytical skills and experience in data-driven program evaluation
Strong leadership and communication skills
Ability to manage multiple priorities in a fast-paced environment
Commitment to person-centered care and health equity
Must reside within hiring county
Valid California Driver's License and active auto insurance meeting CA requirements
Reliable personal vehicle for daily work use
Successful completion of background check (including MVR)
Must be able to travel up to 60-70% within the county to conduct in person visits
Must successfully complete a Testlify skills assessment
Must have a reliable working laptop for the first 21 days of employment until company-issued laptop is received
Must have effective Time Management skills
Must have internet speed of 300+ Mbps download and 25+ Mbps upload
Must be proficient in technology, including documentation systems, case management platforms, and communication tools
Must be willing to work occasional evenings and weekends as needed

Benefits

Comp & perks

160 Hours of Paid Time Off (PTO)
12 Paid Holidays per year, including your birthday and one floating holiday granted after 1 year of employment
4 Paid Volunteer Hours per Month to support causes you care about
Bereavement Leave, including Fur Baby Bereavement
90% Employer-paid Employee-Only Medical Benefits
FSA | Dependent Care Account
401(k) with Company Match
Monthly Stipend
Short-Term & Long-Term Disability | AD&D
Employee Assistance Program (EAP)
Employee Discounts via Great Work Perks and Perks at Work
Quarterly In-Person Events
Fully remote work within California
Opportunities for professional development and internal growth
Personal equipment stipend for use of a reliable working laptop during the first 21 days of employment