Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs.

We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.

At Vynca, our mission is to provide comprehensive care for more quality days at home.

About the job

The Director of Enhanced Care Management is responsible for directing and overseeing operations of the enhanced care management program. This includes responsibility for Cal AIM program performance, provider and community collaboration/engagement, oversight of the care management specialists, policy development, process improvement/program enhancements, managing interdependencies and risks, and developing growth opportunities. The director works on projects from the point of conceptualization up to the implementation stages, and is responsible for resolving complex problems. The director supports the VP of Clinical Operations in the development of strategy that results in better health quality outcomes, better patient care, and lower cost of care.

The Director of Enhanced Care Management will develop, implement, supervise, and manage Vynca’s Enhanced Case Management Program. They will supervise Clinical Managers, Clinical Consultants and Lead Care Managers. This individual will be responsible for administering the ECM program, developing linkage with healthcare plans, outreach, creating clear and easy access and entry into the ECM program, program evaluation, and staff supervision.

At this time we are only considering applicants in the following states: Arizona, California, Colorado, Illinois, Nevada, Oregon, Texas, Utah, and Washington.

What you’ll do

Refine and implement program policies and procedures

Supervise Clinical Managers, Lead Care Managers, and Support Staff

Oversee day to day ECM program

Ensure that ECM contract goals and objectives are met

Ensure contract regulatory and data requirements are met

Ensure records (electronic and physical) and billing requirements are kept up to standards

Oversee assessments, intakes, care planning, crisis management, transition plans

Oversee and ensure staffing and staff training

Run EHR reports as needed

Oversees claims submission, denials, and receipt of payments

Attends meetings and represents the organization with the public, local businesses, employers, health plans, vendors, regulatory and outside vendors

Provides reports to management and managed care plans regarding ECM as needed

Responsible for CalAIM program performance and successful execution of all SLAs.

Oversee all aspects of running an efficient team, focusing on role definition and attainment of goals

Design and implement standard operating procedures and workflows for the department

Develop strategic messaging that conveys the company’s value proposition and overcomes patient objections

Manage quality assurance programs to enhance the client experience

Develop KPIs that align team member performance to business objectives

Manage P&L and report accurate business results in monthly operations reviews

Apply creative, analytical solutions to business problems, with the ability to remain nimble and pivot quickly when needed

Collaborate with other department leaders and foster cross functional cooperation, especially with business development for referral management and clinical operations for patient on-boarding

Exemplify company culture by modeling core values of the organization and ensuring staff understands values and mission

Other related duties as assigned

Your experience and qualifications

Bachelor's Degree required or an equivalent combination of education and experience. Masters in Social Work, Public Health, or Healthcare Administration, highly preferred.

5+ years of people management experience in a similar environment.