Care Manager - ECM, SF

Job Summary

HealthRIGHT 360, a nonprofit organization and a family of programs, is dedicated to providing comprehensive healthcare services to vulnerable populations. Our mission is to address systemic barriers to healthcare and promote health equity for all. We offer a wide range of services, including mental health care, residential and outpatient substance use treatment, and primary health services. Additionally, we provide transitional support for individuals re-entering the community after involvement in the criminal justice system. As part of the CalAIM initiative, the Lead Care Manager (LCM) will manage a caseload of members served under the Managed Care Plan (MCP).

Key Responsibilities

• Client Care and Care Coordination
• Engage eligible people from within State Prisons, County Jails, hospitals, and other locations for enrollment into the MCP.
• Identify and engage with members in the community, including their homes, service provider locations, and other locations requiring outreach.
• Maintain regular contact with all providers involved in the member’s care team.
• Ensure care continuity and integration among all service providers and refer to and follow up with primary care, physical and developmental health, mental health, SUD treatment, and necessary community-based and social services.
• Support the member in their treatment by coordinating medication review and reconciliation, scheduling appointments, providing appointment reminders, coordinating transportation, accompaniment to critical appointments, and addressing other barriers to engagement in treatment.
• Engage with a multidisciplinary care team to identify gaps in the member’s care and ensure appropriate input is obtained to effectively coordinate all primary, behavioral, developmental, oral health, Community Supports.
• Assist the client with intake by completing assessments as required by the MCP.
• Monitor the client’s progress toward achieving the Care Management treatment plan goals and provide treatment plan input.
• Assess the client’s Care Manager needs and complete all Releases of Information.
• Connect the client to benefits, healthcare services, employment, housing, community resources, outpatient substance use services, and other benefits/resources available to the client.
• Coordinate communication and external service linkage, including assisting with scheduling appointments, communicating with probation, scheduling child visits, communicating with Family and Children Services, obtaining all court minute orders, and providing appointment reminders for therapy and psychiatrists.
• Collaborate with clients and their families to support reintegration into the community.
• Collaborate with outside agencies to help clients obtain needed community resources (housing, sober livings, substance abuse recovery agencies, medical facilities, employment/education agencies, DPSS, DMV, or other needed resources).

Training, Supervision, and Quality Improvement Responsibilities

• Attend and actively participate in assigned case conferences to advocate a collaborative discussion for treatment needs.
• Participate in agency and team meetings.
• Participate in training opportunities.
• Communicate collaboratively with all members of the behavioral health team including medical, mental health, psychiatry, substance use disorder, and other staff.
• Complete all assigned training and Relias course assignments in a timely manner.

Field-Based Responsibilities

• This is a field-based position which requires frequent travel.
• A major component of the Lead Care Manager role involves meeting ECM members where they are in terms of their physical location and individual needs.
• The Lead Care Manager will have access to an office space for case management activities, clinical supervision, and to attend all required training and meetings as needed.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.
• A minimum of two years’ experience in the human service field and/or demonstrated expertise in substance use treatment, relapse prevention, and recovery preferred.
• Current First Aid and CPR certification.
• Valid California driver’s license and access to registered and insured transportation.
• Experience working with clients experiencing acute withdrawal from substances.
• Experience delivering evidence-based practices preferred.
• Experience providing trauma-informed services preferred.