Care Manager ECM, SF

JOB SUMMARYHealthRIGHT 360 a nonprofit organization and a family of programs is committed to providing accessible and comprehensive healthcare services to vulnerable populations. Our mission is to tackle 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. By integrating physical and behavioral health we empower individuals to overcome challenges by addressing social determinants of health fostering resilience and facilitating an initiative of the Department of Health Care Services (DHCS) to improve the quality of life and health outcomes of Medi-Cal recipients by implementing delivery system program and payment reforms across the Medi-Cal program. A key feature ofCalAIMis the statewide introduction of an Enhanced Care Management (ECM) benefit and a menu of Community Supports which at the option of a Managed CarePlan (MCP) publicly funded health insurance plans for low-income citizens can address the clinical and non-clinical needs of Populations of Focus with the most complex medical and social Lead Care Manager (LCM) at the ECM program will maintain a caseload of members served under the Managed Care Plan (MCP) providing care by linking the client with appropriate services to address specific needs such as: health benefits mental health substance use disorder physical health employment family and children services Justice-Involved concerns housing community resources outpatient substance use disorder services and aftercare. This role will take part inEnhanced Case Management (ECM) in partnership with local Managed Care Plans including San Francisco Health Plan Anthem Kaiser and the Integrated Care Clinic as well as coordinate with providers to provide case management needs for the clinics patient population. The LCMis required toidentifyand engage with each member in the community including the members home service provider locations and other various locations requiring RESPONSIBILITIESClient Care and Care Coordination Responsibilities:The Care Manager willbe responsible fororganizing patient care activities sharing information with those involved as part of the multi-disciplinary care team and implementing activitiesidentifiedin the Managed Care Plan. Identifyingeligiblepeoplefrom within State Prisons County Jails hospitals and other locations for enrollment into the MCP. Using multiple strategies for engagement including direct communicationwith the member (and/or their advocates) such as in-person meetings where the member livesseekingcare or is accessible; mail email texts and telephone; community and street-level outreach. Maintaining regular contact with all providers identified as part of the memberscare team whose input is necessary for successful implementation of member goals and needs including Justice Involved oversight. Ensuring care is continuous and integrated among all service providers and referring to and following up with primary care physical and developmental health mental health SUD treatment and necessary community-based and social services including housing as needed. Providing support to engage the member in their treatment including coordination for medication review and/or reconciliation scheduling appointments providing appointment reminders coordinating transportation accompaniment to critical appointments and identifyingand helping to address other barriers to member engagement in treatment. Responsible for engaging with a multi- disciplinarycare team toidentifygaps in the members care and ensureappropriate inputis obtained to effectively coordinate all primary behavioral developmental oral health Community Supports. Assistthe client with intake by completing assessments as required by the MCP. Monitors clients progress toward achieving Care management treatment plan goals and provides treatment plan input. Assess the clients Care Manager needs and completes all Releases of information. Connects the client to benefits healthcare services employment housing community resources outpatient substance use services and other benefits/resources available to the client. Coordinates 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 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).Clinical Documentationand AdministrativeResponsibilities:Write and complete all progress notes within 24 hours of service delivery. Writeclientsprogress letters and court reports. Completeall assigned Peer Reviews (Chart Audits) withina timelymatter. Actively participatein assigned Group Supervision agency and team meetings. Participate in training opportunities and complete assigned training in a timely Supervision and Quality Improvement Responsibilities:Attend and activelyparticipatein assigned case conferences toadvocatea collaborative discussion for treatment needs. Actively participatein agency and team meetings. Participatein training opportunities. Communicates 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 -Based ResponsibilitiesThis is a field-based position which requires frequent travel.A major componentof the Lead Care Manager role involves meeting ECM members where they are in terms of their physical location and individual needs. The locations for client engagement and case management will be those most attainable and desirable for clients to receive services pertaining totheir medical management including substance use disorder and plan of addition the Lead Care Manager will have access toan officespace for case management activities clinical supervision and to attendallrequired training and meetingsas perform other duties as CertificationorLicensureHigh school diploma or equivalentrequired. A minimum of two years experience in the human service field and/or demonstratedexpertisein substance use treatment relapse prevention andrecoverypreferred. Current First Aid and CPR certification. ValidCalifornia drivers 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. Experience working with clients experiencing acute withdrawal from substances. Knowledge of andexperience with providing trauma-informed services.