Care ManagerThe Care Manager provides Enhanced Care Management services to assigned members. This role focuses on member engagement, care coordination, and documentation in alignment with payer and regulatory requirements. The Care Manager is responsible for completing required ECM activities accurately, on time, and in accordance with established standards.ECM Service DeliveryConduct outreach and engagement with assigned ECM members.Coordinate services and resources to support member needs.Follow established care plans and ECM workflows.Documentation & ComplianceComplete required ECM documentation accurately and on time.Maintain current care plans and assessments.Address documentation gaps promptly.Risk Identification & EscalationIdentify member risks, barriers, or changes in condition.Escalate concerns according to established protocols.Document escalations and follow-up actions.Collaboration & CommunicationPartner with Senior Care Managers for guidance and support.Coordinate with operations teams as needed to support continuity of care.Communicate clearly with members and internal teams.Required QualificationsMinimum 3 years of care management or care coordination experienceStrong documentation and organizational skillsAbility to manage multiple members and prioritiesClear written and verbal communication skillsPreferred QualificationsExperience with California ECM programsFamiliarity with EHR and care management platformsBackground in healthcare or social servicesSkills and CompetenciesMember engagement and advocacyDocumentation accuracy and timelinessOrganization and follow-throughSystems literacyProfessional judgmentPhysical and Work ConditionsCombination of office, remote, and field-based workProlonged periods of sitting and computer useOccasional in-state travelReasonable accommodations provided in accordance with applicable lawWorkweek, Compensation, and BenefitsThis is a full-time, salaried position.
Omatochi offers a comprehensive benefits package including medical, dental, and vision coverage; paid time off; holidays; and additional benefits consistent with company policy.Compliance and Legal NoticesOmatochi is an equal opportunity employer. Employment is at-will and may be terminated at any time, with or without cause or notice, consistent with applicable law. This position complies with California pay transparency requirements.