Leads and collaborates with care management operations across various settings, ensuring alignment with system-level strategies. Oversees multiple disciplines, working with medical staff, nursing, clinical, and revenue cycle leaders to optimize patient care and financial performance. Responsible for managing departmental services, including social work, complex care planning, transitions of care, and utilization management.
The ECM Clinical Manager handles clinical oversight and management of ECM Lead Care Managers in addressing client's medical, behavioral health, and social determinants of health needs. This role involves communication with ECM Lead Care Managers and occasionally with patients to discuss medication management and ensure follow-up with healthcare providers. The ECM Clinical Manager will be required to travel to Los Angeles, CA, on a monthly basis for up to one week.
Deliver an exceptional experience to clinicians providing care to Pomelo Care customers, measured by Clinician Net Promoter Score, quality metrics, and retention rates. Act as the primary internal point of contact for clinicians, design onboarding and training programs, and maintain the clinician handbook. Ensure clinicians meet client expectations, use data to identify improvements, and build relationships with clinician groups.