Supervisor, Care Management ECM, OC

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 a Department of Health Care Services (DHCS) initiative aims to improve Medi-Cal recipients quality of life and health outcomes through system reforms. It introduces Enhanced Care Management (ECM) a statewide Medi-Cal Managed Care Plan (MCP) benefit that offers person-centered community-based highest care management tier within the Medi-Cal MCP Population Health Management continuum. Participating members are assigned a Care Manager who will meet them wherever they are: on the streetin a shelter in their providers office or at home to coordinate their health-related care and services ensuring holistic approach to their addition ECM offers community-based services to address health-related social needs to help members live healthier lives and avoid more costly levels of care. Some examples include support to secure and maintain housing access to medically tailored meals for short-term recovery and various other community-based Supervisor Care Management at HealthRIGHT 360 is responsible for the day-to-day leadership oversight and performance of the Enhanced Care Management (ECM) program in Orange County. This role supervises a team of Lead Care Managers (LCMs) ensuring the delivery of high-quality person-centered care coordination services to Medi-Cal members with complex medical behavioral health and social needs. The ECM Supervisor provides clinical and operational guidance supports staff development ensures program compliance with CalAIM and Managed Care Plan requirements and monitors key performance indicators related to member engagement documentation care planning and closely with internal interdisciplinary teams and community partners the ECM Supervisor promotes a whole-person approach to care by addressing physical health behavioral health substance use disorders housing instability justice involvement and other social determinants of health. The role includes staff recruitment onboarding training coaching and performance management while maintaining a strong field presence to support outreach engagement and care coordination efforts. The ECM Supervisor serves as a subject matter expert on ECM services and plays a critical role in ensuring members receive timely coordinated and equitable access to healthcare and community-based resources that improve health outcomes and quality of position requires strong leadership care management expertise and a commitment to advancing health equity for vulnerable populations through collaborative community-based service RESPONSIBILITIESProject Organization and IntegrationMeet with CalOptima representatives to understand population needs referral processes data-entry needs and billing an informed foundation for the program to allow for expansion into the and EnrollmentIdentify eligible individuals from State Prisons County Jails hospitals and other locations for enrollment into multiple engagement strategies including direct communication community outreach and street-level 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 organizations standards policies and procedures. Provide ongoing feedback manage performance of direct staff including providing performance improvement plans formal written warning notices and terminations if Care ActivitiesOrganize client care activities according to CalOptimas Managed Care Plan (MCP).Share information with the members multi-disciplinary care activities identified in the support to engage members in their treatment including medication review appointment scheduling transportation coordination and addressing barriers to with intake by completing required members to benefits healthcare services employment housing and community clients progress toward achieving treatment plan goals and provide treatment plan CoordinationMaintain regular contact with all providers involved in the members care continuous and integrated care among all service and follow up with primary care mental health substance use disorder treatment and necessary community-based with clients and their families for community with outside agencies to obtain needed community resources (housing sober livings substance abuse recovery agencies medical facilities employment/education agencies DPSS DMV or other needed resources).Communicate collaboratively with all members of the behavioral health -Based ResponsibilitiesMet ECM clients at their physical locations and cater to their individual case management activities in locations most attainable and desirable for access to office space for case management activities and attend required trainings and meetings as mileage for field-based case management activities for and Other DutiesWrite and complete all progress notes within 24 hours of service client progress letters and court and maintain training-related workflows and assigned Peer Reviews (Chart Audits) in a timely participate in assigned Clinical Group Supervision agency and team in training opportunities and complete assigned training in a timely perform other duties as and ExperienceHigh school diploma or equivalent with 2 years experience working with Medi-Cal Medi-Care and private Medical Insurance plans OR Bachelors degree in a human services-related First Aid and CPR certification or ability to obtain within 30 days of California Drivers License and access to registered and insured 2 years experience in the human service field and/or demonstrated expertise in substance abuse treatment relapse prevention and with management providing trauma-informed services REQUIREMENTSIn an 8-hr workday employee is required to perform work:Sitting4HrsStanding2HrsWalking2HrsDrivingFrequentlyIn an average month employee must travel out of town: Often (>2x) Sometimes (<2x) NeverIn an 8-hr workday employee must:Not at allOccasionally(1/4-2½ hrs.)Frequently(2½-5½ hrs.)Continuously(5½-8 hrs.)Bend/stoopClimbReach above shoulder levelKneelBalancePush/pullSquatCrawlCrouchLift*Carry*** Usual number Maximum number520lbslbs** Usual number Maximum number520lbslbsJob requires:Working at heights Yes NoExplainOperating heavy machinery Yes NoTypeOperating desk machines Yes NoTypeComputer fax printer phonePrecise manual dexterity Yes NoExplainDocumentation data entryExposure to extreme heat cold humidity Yes NoExplainExposure to dust fumes gases chemicals Yes NoExplain