Supervisor I, Case Manager

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.

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.

Job Overview
 
The HealthRIGHT360 (HR360) Case Manager Supervisor I will be responsible for implementing a new HR360 program to serve members under the CalOptima Managed Care Plan (MCP) 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 Case Manager Supervisor I 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 Case Manager Supervisor I will also hire, supervise and train new staff incrementally, as the program grows to serve the expanding population. 

Organize, stabilize and integrate this new project by meeting with representatives of the funding source (CalOptima) in order to best understand the needs of the population, the referral and authorization processes, data-entry needs and the billing process in order to create an informed foundation for program, allowing for expansion into the community. Organizing patient care activities, as laid out in CalOptima’s MCP; sharing information with those involved as part of the member’s multi- disciplinary care team; and implementing activities identified in the MCP. Identifying eligible persons from within State Prisons, County Jails, hospitals, and other locations for enrollment into CalOptima’s MCP. Using multiple strategies for engagement, including direct communications with the member (and/or their advocates), such as in-person meetings where the member lives, seeks care or is accessible; mail, email, texts, and telephone; community and street-level outreach. Maintaining regular contact with all providers that are identified as being a part of the member’s care team, whose input is necessary for successful implementation of member goals and needs, including Justice Involved oversight. 

Key Responsibilities

• Engaging with a multi- disciplinary care team to identify gaps in the member’s care and ensure appropriate input is obtained to effectively coordinate all primary, behavioral, developmental, oral health, Community Supports.
• Assist the client with intake by completing assessments as required by the MCP.
• Monitors client's progress toward achieving Care management treatment plan goals and provides treatment plan input.
• Assess the client’s Care Manager needs and completes all Releases of information.
• Connects the client to benefits, healthcare services, employment, housing, community resources, outpatient substance use services, and other benefits/resources available to the client.
• Coordinates communication and external service linkage including assisting with scheduling appointments, communicating with probation, scheduling child visits, communicating with Family and Children Services, obtaining all court minute orders, providing appointment reminders for therapy and psychiatrist.
• Collaborate with clients and their families to support reintegration into the community. 
• Collaborate with outside agencies to help clients obtain needed community resources (housing, sober livings, substance abuse recovery agencies, medical facilities, employment/education agencies, DPSS, DMV or other needed resources).
• This is a field-based position which requires frequent travel. 
• A major component of the Lead Care Manager role involves meeting ECM members where they are in terms of the physical location and individual needs. 
• The locations for client engagement and case management will be those most attainable and desirable for clients to receive services pertaining to their medical management, including substance use disorder, and plan of care.
• In addition, the Lead Care Manager will have access to an office space for case management activities, clinical supervision, and to attend required trainings and meetings as-needed. 

Education and Knowledge, Skills and Abilities

Education & Experience:

• High school diploma, 2years of experience working with Medi-Cal, Medi-Care and private Medical Insurance Plans and a minimum of two years’ experience in the human services field and/or demonstrated expertise in substance abuse treatment, relapse prevention, and recovery.

OR

• Bachelor’s degree, in the human service field (social work, public health, psychology). and/or demonstrated expertise in substance abuse treatment, relapse prevention, and recovery. 
• Must have dependable vehicle and current insurance and an active Driver's License.

Preferred:

• At least two years experience in human services and/or expertise in substance use treatment, relapse prevention, and recovery.
• Bilingual proficiency preferred.
• Experience with clients experiencing acute withdrawal from substances.
• Cannot be on active probation or parole, ability to clear background check.
• Must be able to pass health screening and TB requirements,must be fully vaccinated against COVID-19 including booster shots.