Supervisor, Care Management ECM, SD

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 is 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 of CalAIM is the statewide introduction of an Enhanced Care Management (ECM) benefit and a menu of Community Supports which at the option of a Managed Care Plan (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 needs. Supervisor Care Management will be responsible for implementing the ECM program to serve members under the Managed Care Plan (MCP) by providing care by linking clients with appropriate services to address specific needs such as physical and mental health substance use disorder (residential and outpatient) employment Justice-Involved concerns housing community resources and aftercare. The Supervisor Care Management is required to identify and engage with each member in the community including the members home service provider locations and other various locations requiring outreach. The Supervisor Care Management will also hire supervise and train new staff incrementally as the program grows to serve the expanding RESPONSIBILITIES Program Implementation & Development Organize stabilize and integrate the new project by meeting with representatives from the funding source (e.g. Community Health Group Molina and other local MCPs).Understand the needs of the population referral and authorization processes data-entry and billing to build a solid foundation for the a framework that allows for community-based program patient care activities as outlined by the MCP and implement identified care coordination and Enrollment Identify 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 Care Activities Organize client care information with the clients multi-disciplinary care activities identified in the support to engage clients in their treatment including medication review appointment scheduling transportation coordination and addressing barriers to with intake by completing required assessments and care management members to benefits healthcare services employment housing and community clients progress toward achieving treatment plan goals and provide treatment plan Coordination Maintain 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 services. Collaborate with clients and their families for community reintegration. Collaborate 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 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. Services may be provided at clients homes medical facilities behavioral health providers etc. 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 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 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. And perform other duties as assigned. QUALIFICATIONSCredentials and Experience Option I: High school diploma or equivalent. Minimum of 3 years experience working with Medi-Cal Medi-Care and private Medical Insurance plans. Bachelors degree in a human services-related field. Minimum of 1 year of supervisory experience in healthcare social services or community-based settingOption 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 Drivers License and access to registered and insured transportation.