HealthRIGHT 360
Supervisor, Care Management - Enhanced Care Management (ECM)
HealthRIGHT 360, San Francisco, California, United States, 94199
Supervisor, Care Management - Enhanced Care Management (ECM)
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Supervisor, Care Management - Enhanced Care Management (ECM)
role at
HealthRIGHT 360
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 And Perks
HR360 offers 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
Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.
CalAIM 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 member’s 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 population.
Key Responsibilities Program Implementation & Development
Organize, stabilize, and integrate the new project by meeting with representatives from the funding source (e.g., San Francisco Health Plan or other local MCPs).
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 MCP and implement identified care coordination strategies.
Client Identification & Engagement
Identify eligible individuals for MCP 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 MCPs 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
SUD 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 MCP.
Monitor clients' progress toward treatment plan goals and provide input.
Complete Releases of Information (ROIs) 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 the team expands, within a timely matter.
Training, Supervision And Quality Improvement Responsibilities
Facilitate Clinical Group Supervision as the team expands.
Work Environment
Position is based in HealthRIGHT 360's Integrated Care Center (ICC).
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 1 year of supervisory or leadership experience in healthcare, social services, or community‑based setting.
OR
High School Diploma/GED with 3 years of supervisory or leadership experience in healthcare, social services, or community‑based setting.
At least 3 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
Sitting: 4 hours
Standing: 2 hours
Walking: 2 hours
Driving: frequently
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 - Enhanced Care Management (ECM)
role at
HealthRIGHT 360
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 And Perks
HR360 offers 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
Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.
CalAIM 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 member’s 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 population.
Key Responsibilities Program Implementation & Development
Organize, stabilize, and integrate the new project by meeting with representatives from the funding source (e.g., San Francisco Health Plan or other local MCPs).
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 MCP and implement identified care coordination strategies.
Client Identification & Engagement
Identify eligible individuals for MCP 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 MCPs 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
SUD 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 MCP.
Monitor clients' progress toward treatment plan goals and provide input.
Complete Releases of Information (ROIs) 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 the team expands, within a timely matter.
Training, Supervision And Quality Improvement Responsibilities
Facilitate Clinical Group Supervision as the team expands.
Work Environment
Position is based in HealthRIGHT 360's Integrated Care Center (ICC).
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 1 year of supervisory or leadership experience in healthcare, social services, or community‑based setting.
OR
High School Diploma/GED with 3 years of supervisory or leadership experience in healthcare, social services, or community‑based setting.
At least 3 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
Sitting: 4 hours
Standing: 2 hours
Walking: 2 hours
Driving: frequently
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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