Turning Point Community Programs · 2 hours ago
Program Director II- ECM
Turning Point Community Programs is seeking a Program Director II for their Enhanced Care Management (ECM) program in Roseville, CA. The role involves managing day-to-day operations, providing clinical oversight, ensuring compliance with standards, and developing relationships with insurance plans to enhance services.
Health CareMedicalMental HealthNon Profit
Responsibilities
Provides clinical oversight for ECM services
Ensures staff compliance with productivity standards to ensure fiscal viability of program
Assesses, develops and implements plans to meet programming and service provision needs
Learns about and stays abreast of CalAim guidelines for Enhanced Care Management and Community Supports and ensures compliance for those guidelines
Develops relationships with insurance plans or other systems of care to enhance/expand the services provided
Provides “on-the-spot” support that is both helpful to the members and consistent with the philosophy of the agency
Represents the Program at community and other stakeholder meetings as assigned
Liaises with County personnel, Insurance plans or other health plan/government bodies with regard to program design, audit and other regulatory issues of contract
Conducts public relations activities in coordination with administration
Works with program staff and members to develop planning and evaluation strategies
Provides prompt intervention in the event of a crisis both to stop the crisis and to notify, when indicated, persons and agencies necessary for the resolution of the crisis situation
Ensures the safety, health, and well-being of staff and members
Responsible for budget development in conjunction with Fiscal Department; monitors budget on a monthly and annual basis
Ensures overall compliance with contractual agreement with providers including outcomes
Ensures services meet quality management standards for documentation, billing and service provision
Provides all necessary reports to funders and Administration in a timely fashion
Qualification
Required
Under administrative direction of the Chief Operations Officer or designee, manages the day-to-day operations of a program that consists of a system of services (Enhanced Care Management and Community Supports) within a large geographic region
This is an at-will leadership position within a service delivery system
This position is responsible for all aspects of service development, design, and implementation
This position is responsible for the day-to-day supervision of assigned staff who perform the established duties of the program
This is a management position responsible for all phases of the management process within the assigned program
The services directed by this program will include coordination of care with existing mental health programs, Program Directors and Regional Directors
Provides clinical oversight for ECM services
Ensures staff compliance with productivity standards to ensure fiscal viability of program
Assesses, develops and implements plans to meet programming and service provision needs
Learns about and stays abreast of CalAim guidelines for Enhanced Care Management and Community Supports and ensures compliance for those guidelines
Develops relationships with insurance plans or other systems of care to enhance/expand the services provided
Provides 'on-the-spot' support that is both helpful to the members and consistent with the philosophy of the agency
Represents the Program at community and other stakeholder meetings as assigned
Liaises with County personnel, Insurance plans or other health plan/government bodies with regard to program design, audit and other regulatory issues of contract
Conducts public relations activities in coordination with administration
Works with program staff and members to develop planning and evaluation strategies
Provides prompt intervention in the event of a crisis both to stop the crisis and to notify, when indicated, persons and agencies necessary for the resolution of the crisis situation
Ensures the safety, health, and well-being of staff and members
Responsible for budget development in conjunction with Fiscal Department; monitors budget on a monthly and annual basis
Ensures overall compliance with contractual agreement with providers including outcomes
Ensures services meet quality management standards for documentation, billing and service provision
Provides all necessary reports to funders and Administration in a timely fashion