About SoHum Health
At SoHum Health, our mission is to provide high-quality local medical services and engage community members in education and lifestyle opportunities to promote optimal health and wellness. As the sole provider of emergency, acute, radiology, skilled nursing, pharmacy, and various other health services in our expansive rural region, we play a unique role as a hub and trusted partner for the patients we serve. Guided by our core values of caring, quality, teamwork, and positivity, we strive daily to improve the health of our underserved community.

Summary/Objective  

Responsibilities include managing, mentoring, and training the enhanced care management (ECM) staff. The Population Health Care Manager establishes and maintains working relationships between the patient and provider teams at SoHum Health, Partnership Healthplan of California, and community-based organizations. This model utilizes a team approach, focused on continuous partnership among the patient, caregiver, physician, hospital, and community resources, to provide continual, coordinated care. The Population Health Care Manager will implement and oversee community health worker (CHW) and ECM programs and initiatives. It is essential that the Population Health Care Manager quickly gain and maintain an up-to-date understanding of the CHW and ECM programs. 

Essential Functions

Develop and implement workflows, programs, and initiatives relevant to CHW and ECM job functions

Works with the patients/enrollees' care team to conduct comprehensive assessments and develop and update care plans for each patient/enrollee

Recognizing, prioritizing, and acting on opportunities for improvement

Networking, including developing and maintaining positive working relationships

Produce deliverable products on time, within budget, and with minimal direction 

Attend conferences, courses, and educational forums as approved and complete annual education requirements, as applicable

Core Competencies

District Values

Confidentiality

Plan and Program Development

Professionalism

Required Education and Experience

CHW or CHW-eligible

Bachelor’s degree in social work, population health, or other related field

Minimum of 1-3 years of experience in social services, case management, public health, or related field

Preferred Education and Experience

 Master's degree in social work, population health, or other related field