Enhanced Care Management Program Manager

Pacific Health Group

. Lead Pacific Health Group’s Enhanced Care Management program for vulnerable and high-need populations .

Posted 10/17/2026full-timeRemote • Nevada • 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, focusing on vulnerable populations while ensuring high-quality, person-centered care. Proficient in data-driven program evaluation, staff mentorship, and operational management within healthcare settings.

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

Healthcare AdministrationCase ManagementProgram Budget ManagementPerformance BenchmarkingQuality Assurance ProtocolsTelehealth InitiativesRegulatory ComplianceData AnalysisMember Engagement StrategiesStaff Performance Monitoring

Soft Skills

Communication SkillsMentorshipTime ManagementProblem-SolvingCollaboration

Tools & Technologies

Documentation SystemsCase Management PlatformsCommunication ToolsData Tracking Systems

Certifications & Qualifications

Bachelor’s Degree in Healthcare AdministrationMaster’s Degree in Public Health or Nursing

Industry Keywords

Medicaid ProgramsMedicare ProgramsPerson-Centered CareHealth EquityCare Transition Partnerships

About the role

Key responsibilities & impact

Lead Pacific Health Group’s Enhanced Care Management program for vulnerable and high-need populations
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 with staff in person regularly
Establish performance benchmarks and metrics
Implement quality assurance protocols and standardized workflows
Monitor staff performance and identify trends and improvement opportunities using data
Ensure members receive in-person visits and high-quality, person-centered 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 and pilot initiatives such as telehealth
Stay current on best practices and integrate improvements
Lead operational huddles and bi-weekly case conferences
Develop mentorship programs and regional staff training
Prepare quarterly performance reports and maintain stakeholder relationships
Travel regularly to county sites in California and support occasional evening or weekend initiatives

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 state
Valid Driver's License and active auto insurance meeting state 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
Internet speed of 300+ Mbps download and 25+ Mbps upload
Proficiency 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
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
Opportunities for professional development and internal growth
Personal equipment stipend for a reliable working laptop during the first 21 days of employment