Care Coordination Program Manager

POSITION TITLE: Care Coordination Program Manager

REPORTS TO (TITLE): Associate Director of Special Population Programs

SALARY: $85,000 - $105,000 DOE

Job Summary: The Care Coordination Program Manager is responsible for successfully implementing SRCH’s organization-wide Care Coordination services. This position oversees the planning, implementation, and management of the Enhanced Care Management (ECM) program, a Medi-Cal benefit, and Community Health Worker (CHW) services.  Ensuring person-centered, evidence-based, and interdisciplinary care for individuals with complex health and social needs. This role emphasizes integrating the Collaborative Care Model principles, including systematic team-based care, population-based management, measurement-based treatment, and accountability, to improve health outcomes for diverse populations while working collaboratively with community partners to meet the needs of the patient population.

Specific Tasks/Duties Include:

• Participates in the development and delivery of enabling services to improve the quality of the health outcomes for patients with complex medical and psycho-social needs.
• Manages care coordination program services, and documentation requirements.
• Build and maintain robust partnerships with healthcare providers, hospitals, community organizations, and other stakeholders to enhance access to integrated services.
• Represents Santa Rosa Community Health with respect to care coordination services in community meetings or forums as agreed to.
• Develops and maintains working relationships with community partners.
• Collaborates with medical, mental health, substance use, and clinical care teams across SRCH’s campuses.
• Works with department Director to develop and enforce written departmental policies and procedures consistent with agency guidelines.
• Tracks and reports grant required information when needed in conjunction with Quality, Grant, and Data Analyst teams.
• Participates in quality improvement and assurance activities within the Care Coordination Department.
• Directly supervises and develops Care Coordination and Community Health Worker supervising staff.
• Must be familiar with the Collective Bargaining Agreement in the supervision of any union-represented staff.
• Responsible for timely, accurate submission of timekeeping processes to payroll.
• Provides leadership for the department including program planning, budgeting, and development as well as recruit, train, supervise, and support care team members, including care coordinators, community health workers, social workers, behavioral health specialists, and other relevant staff.
• Provide ongoing education on the principles of collaborative care, ensuring the team understands its role in systematic, population-based approaches.
• Oversight of referral process and coordinates the distribution of clients to appropriate Care Coordination program.
• Ensure that care plans are person-centered, and address clients' medical, behavioral, and social needs, emphasizing the integration of behavioral health and primary care services and are aligned with ECM program goals.
•  Facilitate regular case reviews with an interdisciplinary team to support comprehensive and coordinated care.
• Is responsible for the accurate and complete documentation and timely reporting to funders or as needed for compliance.
• Other duties as assigned.

Minimum Requirements:  

Education:

• Bachelor’s degree in healthcare administration, social work, public health, or a related field required; Master’s degree preferred.
• Active California LCSW preferred

Experience:

• Minimum 3 years in case management, care coordination in a medical setting, or home health/hospice.
• Minimum two years program administration/leadership experience.
• Minimum two years supervisory experience.
• Experience working with vulnerable populations, including individuals experiencing homelessness, mental illness, or substance use disorders, is strongly preferred.

Knowledge and Skills:

• Spanish language skills preferred.
• Ability to listen and understand clinical issues sufficiently to direct non-clinical case transition staff.
• Knowledge of local community and available resources, including medical system.
• Ability to effectively present information, respond to questions, and generally communicate clearly and respectfully with patients, coworkers, other agencies or companies, and general public.
• Basic understanding of medical billing process and cash management.
• Advanced computer skills required, including Microsoft Office programs; electronic medical records experience preferred.

SRCH is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation. 

Physical Requirements:  

While performing the duties of this job, this position is frequently required to do the following: 

• Use standard office equipment and access, input, and retrieve information from a computer.   Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time. 
• Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population. 
• Give and follow verbal and written instructions with attention to detail and accuracy. 
• Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.
• Vision: see details of objects at close range.
• Coordinate multiple tasks simultaneously. 
• Reach forward, up, down, and to the side. 
• Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
• Lift up to five (5) pounds.

SRCH provides reasonable accommodation for individuals with a physical or mental disability to apply for jobs and to perform the essential functions of their jobs unless it would cause an undue hardship.