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Supervisor, Care Management - Enhanced Care Management (ECM)

Supervisor, Care Management - Enhanced Care Management (ECM)

HealthRIGHT 360San Francisco, CA, US
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Supervisor, Care Management

HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment.

The Integrated Care Center Clinic is a federally qualified health center that provides primary care, behavioral health, addiction treatment, psychiatry, dental care, and more. We provide care to those most in need including those who are suffering from homelessness, mental illness, substance use, mental illness, and chronic medical conditions. We provide team-based care in an integrated care setting. We are looking for a mission driven, service leader who works well in a team, has experience with managing and supporting staff, champions quality improvement, leads change, and is excited to innovate.

Benefits include a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more! Employees qualify for public loan forgiveness programs. Training and professional development opportunities are available. Work with mission-driven, compassionate colleagues and make a difference every day in the work that you do.

Key Responsibilities

Program Implementation & Development

  • Organize, stabilize, and integrate the new project by meeting with representatives from the funding source.
  • Understand the needs of the population, referral and authorization processes, data-entry, and billing to build a solid foundation for the program.
  • Create a framework that allows for community-based program expansion.
  • Organize patient care activities as outlined by the Managed Care Plan and implement identified care coordination strategies.

Client Identification & Engagement

  • Identify eligible individuals for Managed Care Plan enrollment from State Prisons, County Jails, hospitals, and other locations.
  • Use a variety of outreach and engagement strategies, including :
  • In-person meetings at the client's location
  • Mail, email, texts, and phone calls
  • Street and community-level outreach
  • Collaborate with client advocates as appropriate.
  • Engage and serve clients insured by non-contract Managed Care Plans and uninsured clients as needed.
  • Collaborate with other local HealthRIGHT 360 programs to serve participants from varying levels of care.
  • Care Coordination & Case Management

  • Maintain regular communication with all providers involved in the members' care team.
  • Ensure care is continuous and well-coordinated across :
  • Primary care
  • Physical and developmental health
  • Mental health
  • Substance use disorder treatment
  • Housing and social services
  • Support client engagement through :
  • Medication coordination and reconciliation
  • Scheduling and reminders
  • Transportation coordination and accompaniment
  • Removing other barriers to care
  • Assessment & Client Support

  • Participate in intake by completing assessments required by the Managed Care Plan.
  • Monitor clients' progress toward treatment plan goals and provide input.
  • Complete Releases of Information and assess clients' care needs.
  • Connect clients to services and resources, including :
  • Medical and behavioral healthcare
  • Employment and education opportunities
  • Housing
  • Community and government resources (e.g., DPSS, DMV)
  • Team Collaboration

  • Engage with a multidisciplinary team to identify care gaps and obtain appropriate input.
  • Collaborate with clients and families to support community reintegration.
  • Coordinate with external agencies to support client access to needed resources.
  • Clinical Documentation

  • Write and complete all progress notes within 24 hours of service delivery.
  • Complete, document, and update all clinical requirements such as needs assessments and care plans.
  • Write clients' progress letters and court reports.
  • Oversee clinical documentation for Lead Care Management staff as team expands, within a timely manner.
  • Training, Supervision, and Quality Improvement Responsibilities

  • Facilitates Clinical Group Supervision as team expands.
  • Work Environment

  • This is a field-based position, requiring frequent travel.
  • Must have a dependable vehicle and valid insurance.
  • Services are delivered in the community, at client-preferred locations such as :
  • Homes
  • Medical facilities
  • Behavioral health providers
  • Office space is available for documentation, clinical supervision, and training.
  • Mileage for field-based work may be reimbursed.
  • Primary service area : San Francisco (may expand to neighboring counties as needed).
  • Qualifications

    Education, Experience, and Credentials

  • Bachelor's degree in social work, psychology, nursing, public health, or a related field with at least one year of supervisory or leadership experience in healthcare, social services, or community-based setting.
  • OR
  • High School Diploma / GED with three years of supervisory or leadership experience in healthcare, social services, or community-based setting.
  • At least three years of case management experience working with high-need populations (Medi-Cal, Medi-Care and private medical insurance plans).
  • Valid driver's license, reliable transportation, and current auto insurance.
  • Desired :

  • AOD Certification from an accredited certifying body (CCAPP, CAADE, CADTP).
  • Two years' experience in the human service field and / or demonstrated expertise in substance abuse treatment, relapse prevention, and recovery.
  • Experience working with clients experiencing acute withdrawal from substances.
  • Experience with providing trauma-informed services.
  • Experience delivering evidence-based practices preferred.
  • Master's degree in social work (MSW), counseling, nursing, or a related behavioral health field.
  • Physical Requirements

    In an 8-hour workday, the employee is required to perform work :

    Sitting

    Hrs

    Standing

    Hrs

    Walking

    Hrs

    Driving

    Frequently

    Additional Requirements

  • Must complete background check and Livescan.
  • Covid-19 vaccine and booster is required for this position. Exemptions are not accepted.
  • We will consider for employment qualified applicants with arrest and conviction records.
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    Supervisor Care Management • San Francisco, CA, US