Vynca Care

• Align people strategies with operational goals, growth targets, and patient outcomes • Provide guidance on organizational design, team structure, and span of control • Analyze workforce data to identify trends and recommend actionable solutions • Support workforce planning efforts including headcount forecasting • Serve as the primary HR advisor on employee relations matters • Coach managers on delivering effective feedback • Lead and support performance management processes • Ensure compliance with federal, state, and local employment laws • Develop deep understanding of clinical roles and associated challenges • Support initiatives to improve retention and engagement for employees • Provide guidance on clinical-specific considerations and compliance

Assess client needs, develop care plans, connect clients to necessary services, and advocate for them with healthcare professionals to promote wellness and ensure access to appropriate resources and support.

Title: Behavioral Health Case Manager Location: Remote - United States Department: Enhanced Care Management Job Description: bout the job We're seeking an exceptional remote Behavioral Health Case Manager (internal title: Clinical Lead Care Manager (CLCM)) to join our team. Under the direction of the ECM Clinical Manager, the CLCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client’s caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit. This is a critical role that we're looking to fill as soon as possible. What you’ll do Remote care management duties as described below: - Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports - Oversees the development of the client care plans and goal settings - Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services - Connect clients to other social services and supports that are needed - Advocate on behalf of the client with health care professionals (e.g. PCP, etc.) - Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles - Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system - Evaluate client’s progress and update SMART goals - Provide mental health promotion - Arrange transportation (e.g., ACCESS) - Complete all documentation, including outcome measures within the timeframes established by the individual care plans - Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems - Complete monthly reporting to ensure program compliance - Attend training as assigned Your experience and qualifications - Willing and able to work Monday-Friday 8:30am-5:00pm Pacific Time, with the possibility of evenings and weekends - Active, unrestricted LCSW, LMFT, or LPCC license in California required - 1+ year of experience as a care manager, care navigator, or community health worker supporting vulnerable populations - Working knowledge of government and community resources related to social determinants of health - Excellent oral and written communication skills - Positive interpersonal skills required - Must have general computer skills and a working knowledge of Google Workspace, MS Office, and the internet - Bilingual (English/Spanish), highly preferred At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, and Washington. Keywords: Care Manager, Case Manager, Social Work, Community Health Worker, Behavioral Health, Housing Navigator, Care Navigator, Care Coordinator, Healthcare Additional Information - The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks. - Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment. - Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein. - Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. - Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire. - Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law. Compensation - ACSW$28 – $32 per hour • Offers Bonus - LCSW/LMFT/LPCC$30 – $35 per hour • Offers Bonus - Great humans deserve great benefits! At Vynca, full time employees are eligible for benefits such as: medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, 401k, and access to other wellness benefits. We offer competitive compensation based on factors such as experience, skills, location, company needs, and market demands.

Title: Case Manager Location: Santa Ana, CA Department: Enhanced Care Management Job Description: Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. At Vynca, our mission is to provide comprehensive care for more quality days at home. About the job Vynca is seeking an exceptional Case Manager (internal title: Lead Care Manager (LCM)) to join our Enhanced Care Management (ECM) team in Orange County, CA. Under the direction of the Director of Enhanced Care Management, ECM Clinical Manager and/or ECM Program Manager, the LCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care. The LCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The LCM collaborates and communicates with client’s caregivers/family support persons, other providers and others in the Care Team in order to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit. This is a hybrid position that requires traveling throughout the Orange County area up to 5 days per week. Candidates wishing to be considered must reside within a 20 miles radius of the assigned territory due to frequency of travel. This is a critical role that we're looking to fill as soon as possible. What you’ll do Hybrid (in-field and remote) care management duties as described below: - Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports - Oversees the development of the client care plans and goal settings - Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services - Connect clients to other social services and supports that are needed - Advocate on behalf of the client with health care professionals (e.g. PCP, etc.) - Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles - Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system - Evaluate client’s progress and update SMART goals - Provide mental health promotion - Arrange transportation (e.g., ACCESS) - Complete all documentation, including outcome measures within the timeframes established by the individual care plans - Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems - Complete monthly reporting to ensure program compliance - Attend training as assigned Your experience and qualifications - 2+ years experience as a care manager, care navigator, or community health worker supporting vulnerable populations - Willing and able to work Monday-Friday 8:30am-5:00pm Pacific Time, both in the field and remotely, with flexibility for potential evenings and weekends. - Working knowledge of government and community resources related to social determinants of health - Clean driving record, valid driver's license, and reliable transportation - Excellent oral and written communication skills - Positive interpersonal skills required - Must have general computer skills and a working knowledge of Google Workspace, MS Office and the internet - Bilingual (English/Spanish), strongly preferred Additional Information - The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks. - Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment. - Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein. - Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. - Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire. - Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.

Assess member needs and coordinate comprehensive care plans, connecting clients to necessary services while advocating for their health. Facilitate communication among caregivers and providers to promote wellness and recovery.

• Supervise a team of approximately 10-15 direct reports under the ECM team to ensure high-quality enrollments and care management services. *The exact number of direct reports may fluctuate based on business needs.* • Oversee client outreach, enrollments, and the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary. • Drive the team to meet key performance indicators (KPIs) effectively. • Collaborate with the Director(s) of Enhanced Care Management to implement changes and process improvements. • Provide clinical oversight approximately 30% of the time, including, but not limited to: supervision of clinical staff, clinical sign-offs, oversight of care plans, leading IDT meetings, and serving as a clinical consultant for complex clinical cases. • Provide direct care management as needed to support organizational goals. • Travel up to 20-25% may be required for training, meetings, and other business needs.

• Design, provision, and manage AWS infrastructure using Terraform • Operate, maintain, and scale production workloads running on Kubernetes • Package, deploy, and manage applications using Helm and infrastructure automation tools • Build, operate, and improve distributed and event-driven systems • Define, monitor, and maintain Service Level Indicators (SLIs), Service Level Objectives (SLOs), and error budgets • Develop automation for deployment, scaling, monitoring, incident response, and operational workflows • Own platform observability by implementing and maintaining metrics, logging, tracing, monitoring, and alerting solutions • Lead incident response efforts, facilitate blameless postmortems, and drive long-term corrective actions • Partner with Product and Engineering teams on capacity planning, performance optimization, and resilient system design • Implement and maintain security best practices to support HIPAA, SOC 2, and other compliance requirements • Participate in an on-call rotation and provide operational support for production systems

• Supervise a team of approximately 10-15 direct reports under the ECM team to ensure high-quality enrollments and care management services. The exact number of direct reports may fluctuate based on business needs. • Oversee client outreach, enrollments, and the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager; serve as an escalation point when necessary. • Drive the team to meet key performance indicators (KPIs) effectively. • Collaborate with the Director(s) of Enhanced Care Management to implement changes and process improvements. • Provide clinical oversight approximately 30% of the time, including, but not limited to: supervision of clinical staff, clinical sign-offs, oversight of care plans, leading IDT meetings, and serving as a clinical consultant for complex clinical cases. • Provide direct care management as needed to support organizational goals. • Travel up to 20-25% may be required for training, meetings, and other business needs.

• Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff • Refine and implement program policies and procedures • Oversee day to day ECM program • Ensure that ECM contract goals and objectives are met • Ensure contract regulatory and data requirements are met • Ensure records (electronic and physical) and billing requirements are kept up to standards • Oversee assessments, intakes, care planning, crisis management, transition plans • Oversee and ensure staff training • Run EHR reports as needed • Oversees claims submission, denials, and receipt of payments • Attends meetings and represents the organization with the public, local businesses, employers, health plans, vendors, regulatory and outside vendors • Provides reports to management and managed care plans regarding ECM as needed • Responsible for CalAIM program performance and successful execution of all SLAs. • Oversee all aspects of running an efficient team, focusing on role definition and attainment of goals • Design and implement standard operating procedures and workflows for the department • Develop strategic messaging that conveys the company’s value proposition and overcomes patient objections • Manage quality assurance programs to enhance the client experience • Develop KPIs that align team member performance to business objectives • Manage P&L and report accurate business results in monthly operations reviews • Apply creative, analytical solutions to business problems, with the ability to remain nimble and pivot quickly when needed • Collaborate with other department leaders and foster cross functional cooperation, especially with business development for referral management and clinical operations for patient on-boarding • Exemplify company culture by modeling core values of the organization and ensuring staff understands values and mission • Other related duties as assigned

• Design, implement, and lead the ECM operational quality management program across all health plans and ECM lines of business • Establish enterprise-wide quality standards, documentation expectations, and operational best practices • Develop standardized workflows and quality governance processes to improve consistency across ECM teams • Build scalable quality assurance frameworks that support organizational growth and payer expansion • Partner with Clinical Operations leadership to align operational quality initiatives with care delivery goals and member outcomes • Lead organizational readiness for health plan, DHCS, and regulatory audits • Oversee internal audit programs focused on ECM documentation quality, workflow compliance, timeliness standards, and regulatory adherence • Develop and maintain audit readiness scorecards, corrective action plans, and monitoring processes • Analyze quality trends, audit findings, operational KPIs, and performance data to identify improvement opportunities • Develop and oversee onboarding, education, remediation, and competency programs for ECM staff.