Wildflower Health
ECM Lead Care Manager (LA County or Kern County, CA)
Remote
·
Full time
The Lead Care Manager (LCM) is an integral part of Wildflower’s multidisciplinary Enhanced Care Management (ECM) team and is the primary point of contact for pregnant and postpartum members enrolled in ECM under the Birth Equity Population of Focus (POF).
About Wildflower Health
Description
ECM Lead Care Manager (LA County or Kern County, CA)
About Wildflower Health
Wildflower is a leading women’s health company transforming care delivery and payment models to radically improve access and outcomes. We architected the industry's most comprehensive bundle for value-based maternity care, with pre-built functionality for all actuarial, clinical and operational needs. As part of our offering, we deliver a suite of digital programs and services that support women and family health at every phase of life.
Healthcare happens between doctor visits. Wildflower brings OBGYN care, insurance coverage, and everyday health support into one seamless experience. Through personalized digital health journeys, continuous risk monitoring and trusted support teams of Health Advocates, IBCLCs, and certified doulas, we address the key drivers of women's health by reducing the cost of care through improved access and outcomes.
Through a mix of high-tech tools and human connection, Wildflower is redefining what it means to support the whole person. Our mission is to enable compassionate, high-quality care for all women and their families, especially those who face the greatest barriers. Join us at wildflowerhealth.com.
Wildflower Health provides equal opportunities to all applicants and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Applicants must be authorized to work lawfully in the United States. Wildflower Health is not able to sponsor applicants for work visas.
About the Role
The Lead Care Manager (LCM) is an integral part of Wildflower’s multidisciplinary Enhanced Care Management (ECM) team and is the primary point of contact for pregnant and postpartum members enrolled in ECM under the Birth Equity Population of Focus (POF). The LCM is responsible for conducting outreach and comprehensive assessments, co-developing individualized care plans, and engaging members in their care. They provide evidence-based guidance, support, and care navigation services along with coordinating care with the member’s care team, health plan, and community-based perinatal services.
The ECM Lead Care Manager will report to the Health Advocacy Manager and, as needed, to the ECM Director. This individual will work closely with the ECM Clinical Consultant and other members of the ECM team at Wildflower. This is a fantastic opportunity for a compassionate individual who enjoys working in a growing, fast-paced company and is passionate about improving women’s health outcomes, especially for those who face barriers due to income, language, or social circumstances.
Key Responsibilities
- Outreach and Engagement: locate and engage eligible Birth Equity POF members through phone, video, app, and, when needed, in-person outreach.
- Comprehensive Assessment and Care Management Plan: complete the ECM comprehensive assessment including mental health and social-needs screenings used for risk stratification; co-develop and update the individualized care plan.
- Enhanced Coordination of Care: coordinate with OB providers, midwives, FQHCs, hospitals, behavioral health services, doulas, IBCLCs, WIC, home visiting programs, and Managed Care Plans; facilitate warm handoffs.
- Health Promotion: provide evidence-based perinatal education, self-management and care plan adherence support, and connection to childbirth, lactation, parenting, and other resources.
- Comprehensive Transitional Care: coordinate L&D admission and discharge transitions, NICU transitions, postpartum follow-up, and infant pediatric handoffs.
- Member and Family Supports: advocate on behalf of members and support member self-advocacy, accompany members to critical appointments
- Coordination of and Referral to Community and Social Support Services: address social determinants of health (SDoH) needs such as housing, food, transportation, utilities, childcare, intimate partner violence, etc.
- Answer incoming calls and in-app messages from members and address requests for support.
- Utilize the Wildflower patient portal for consistent and accurate documentation.
- Demonstrate a strong commitment to Wildflower’s mission and values.
- Perform other duties or participate in other projects as assigned.
Ideal Candidate
The ideal candidate has an exceptional track record of developing strong relationships with members, their families, and care teams, while exercising professional judgment in determining escalations to appropriate resources based on a holistic view of the member and ECM program guidelines. We are looking for individuals with the following characteristics:
- Desire to support members across social and clinical needs and ability to create strong interpersonal relationships.
- Passionate about driving products and programs that improve health equity and family health outcomes.
- Demonstrates a strong commitment to the mission and values of the organization.
- Demonstrated ability to work both remotely and in-person, both independently and as part of a team.
- Enjoys working in a fast-paced, exciting environment with adaptability, positive attitude, critical and creative thinking skills, and teamwork.
Skills:
- Familiarity with electronic health records and care management platforms.
- Working knowledge of Medi-Cal Managed Care Plans, the Medi-Cal Doula Benefit, and other perinatal services in California.
- Ability to navigate FQHC, OB/GYN, hospital, and community-based care settings.
- Comfortable with conducting home visits and accompanying members to appointments.
- Proficiency using software such as Slack, Google Docs, Sheets, Slides, and Gmail or similar software.
Qualifications:
- High school diploma or equivalent required; Associate's or Bachelor's degree in a health or human services field preferred.
- Certification or Experience as one of the following preferred: Community Health Worker (CHW), Promotora, Comprehensive Perinatal Health Worker (CPHW/CPSP).
- Minimum of 2 years of experience providing case management, care coordination, community health work, or perinatal support services to underserved populations;
- Prior ECM experience strongly preferred.
- Prior perinatal or maternal health experience strongly preferred.
- Bilingual - fluent written and verbal communication in English and Spanish required; additional threshold languages (e.g., Mandarin, Cantonese, Vietnamese, Korean, Armenian, Tagalog) preferred.
- Knowledge of some medical terminology is required; an understanding of women's health including pregnancy and postpartum preferred.
- Experience using motivational interviewing techniques is preferred.
- Experience keeping protected health information (PHI) secure and confidential preferred.
- Strong organizational and interpersonal skills; detail oriented.
- Excellent written and verbal communication skills.
- Ability to multi-task and work independently.
Hiring Timeline
Please note: We are beginning our search now and anticipate hiring for this position later in Q4
Job Type: Full-Time Employee with benefits
Salary Range: $60,000 to $70,000 based on experience
Schedule: Monday to Friday 8 AM to 5 PM Pacific Time
Work Location: Hybrid, must reside in either LA County or Kern County, California
TO APPLY: Please submit Cover Letter and Resume using the following URL only:
Salary
$60,000 - $70,000 per year