Supervisor, Care Management - ECM, SD

Job Summary

HealthRIGHT 360 is a nonprofit organization dedicated to providing comprehensive healthcare services to vulnerable populations. We aim to tackle systemic barriers to healthcare and promote health equity through our integrated approach that includes primary medical care, mental health services, and substance use disorder treatment.

About the Role

The Supervisor, Care Management will oversee the implementation and development of the Enhanced Care Management (ECM) program, ensuring its successful integration and expansion. This role involves engaging with eligible individuals from various settings, organizing client care activities, and maintaining regular contact with all providers involved in the member's care team.

Responsibilities

• Program Implementation & Development
• Meet with representatives from funding sources to organize and stabilize the new project.
• Understand the needs of the population and build a solid foundation for the program.
• Create a framework for community-based program expansion.
• Organize patient care activities as outlined by the Managed Care Plan (MCP).
• Implement identified care coordination strategies.
• Engagement and Enrollment
• Identify eligible individuals from State Prisons, County Jails, hospitals, and other locations for enrollment into the Managed Care Plan (MCP).
• Utilize multiple engagement strategies including direct communication, community outreach, and street-level outreach.
• Client Care Activities
• Organize client care activities.
• Share information with the clients' multi-disciplinary care team.
• Implement activities identified in the MCP.
• Provide support to engage clients in their treatment.
• Aid in intake by completing required assessments and care management plans.
• Connect members to benefits, healthcare services, employment, housing, and community resources.
• Maintain regular contact with all providers involved in the member's care team.
• Ensure continuous and integrated care among all service providers.
• Refer and follow up with primary care, mental health, substance use disorder treatment, and necessary community-based services.
• Collaborate with clients and their families for community reintegration.
• Collaborate with outside agencies to obtain needed community resources.
• Communicate collaboratively with all members of the behavioral health team.
• Field-Based Responsibilities
• Meet ECM clients at their physical locations and cater to their individual needs.
• Conduct case management activities in locations most attainable and desirable for clients.
• Have access to office space for case management activities and attend required trainings and meetings as needed.
• Submit mileage for field-based case management activities for reimbursement.
• People Supervision
• Recruit, onboard, train, and terminate employees.
• Provide supervision and guidance to staff as needed.
• Ensure proper coverage by creating and modifying work schedules and approving time off requests.
• Ensure staff are properly trained and in compliance with their position expectations, performance goals, and organization’s standards, policies, and procedures.
• Provide ongoing feedback, manage performance of direct staff including providing performance improvement plans, formal written warning notices, and terminations if necessary.
• Oversee clinical documentation for Lead Care Management staff as team expands, within a timely matter.
• Administration and Other Duties
• Write and complete all progress notes within 24 hours of service delivery.
• Write client progress letters and court reports.
• Develop and maintain training-related workflows and procedures.
• Actively participate in assigned Clinical Group Supervision, agency, and team meetings.
• Participate in training opportunities and complete assigned training in a timely manner.
• Perform other duties as assigned.

Qualifications

• Option I: High school diploma or equivalent. Minimum of 3 years’ experience working with Medi-Cal, Medi-Care, and private Medical Insurance plans. Bachelor’s degree in a human services-related field. Minimum of 1 year of supervisory experience in healthcare, social services, or community-based setting.
• Option II: Minimum of 3 years of case management experience working with high-need populations (Medi-Cal, Medi-Care, and private medical insurance plans). Two years’ demonstrated expertise in substance abuse treatment, relapse prevention, and recovery preferred. Alcohol and Other Drug (AOD) registration or certification from CAADE, CADTP, or CCAPP desired. Valid First Aid and CPR certification or ability to obtain within 30 days of hire. Valid California Driver’s License and access to registered and insured transportation.