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Enhanced Care Management (ECM) Manager
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$171,207 a year
- The Enhanced Care Management (ECM) Manager oversees the execution and operations of the ECM program.
- The ECM Manager will perform oversight and support ECM activities that include but are not limited to utilization management, Member assignment, and reporting.
- Responsibilities include staying current with regulatory requirements by the state on various ECM aspects and ensuring the health plan remains compliant with the deliverables.
- Provide oversight of ECM providers and delivery of ECM core services to members through reviews of ECM member assessments, care plans, case notes, and related documentation obtained via chart audits, authorizations, and EHR.
- Support the identification of ECM's best clinical and care management practices and promote provider engagement in process improvement efforts.
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