Care Coordination Program Manager

First 5 Alameda County•Alameda, CA

14h•$99,000 - $142,000•Hybrid

About The Position

Under general direction, this role manages the Community Health Work (CHW) programs, including Help Me Grow and Family Support care coordination. This role oversees the CHW services delivery in alignment with CalAIM requirements and the services delivery provided through our care continuum to support young children and families with developmental and behavioral concerns, and preventive care and social support needs. The Care Coordination Program Manager ensures that there is program alignment with partner care management plan and ensures coordination between Help Me Grow and ECM services; supervising and guiding CHW staff to deliver high quality services. Leads CHW service delivery and ensure compliance with CalAIM requirements. Develops and refines operational workflows and processes to support effective CHW operations. Coordinates with Managed Care Plan partners to support program alignment and ensure compliance with contractual, quality, and promising practices standards. Ensures timely, accurate staff documentation to support billing and reporting requirements. Monitors team performance and communicates findings to management; implements improvements to enhance efficiency and service quality; maximizes effectiveness and ensures alignment with department’s mission. Recommends and implements goals and objectives, policies and procedures and ensures the program is staffed with qualified employees by supporting hiring, training, performance management, and staff development. Manages program supervisors by setting expectations, communicating goals, and ensuring quality, timeliness, and policy compliance in daily operations. Develops program plans, tools, and trainings to clarify roles and strengthen staff and partner performance.

Requirements

Strong understanding of CalAIM, Community Health Worker (CHW) Benefit, Medi-Cal managed care operations, and experience developing operational workflows.
Knowledge of Enhanced Care Management (ECM) and Help Me Grow
Knowledge of early childhood delivery systems, pediatric preventive care and social determinants of health.
Knowledge in serving families accessing and navigating health care, developmental and behavioral services.
Principles and practices of employee supervision, including work planning, assignment review and evaluation, discipline, and the training of staff in work procedures.
Principles and practices of leadership.
Principles and techniques for working with groups and fostering effective team interaction to ensure teamwork is conducted smoothly.
Principles and practices of program management including planning, development, implementation, and evaluation.
Modern equipment and communication tools used for work functions and program, project, and task coordination, including computers and software programs relevant to work performed.
Ability to manage programs, implement service models, and ensure compliance with contractual and regulatory requirements.
Excellent communication, facilitation, and partnership-building skills.
Experience collaborating with managed care plans, community partners, and cross-functional teams
Ability to use data for program monitoring, quality improvement, and reporting.
Ability to guide teams through change in a fast environment; leadership, problem-solving and adaptability skills
Develop and implement goals, objectives, practices, policies, procedures, and work standards.
Provide administrative, management, and professional leadership for the assigned program.
Select and supervise staff, provide training and development opportunities, ensure work is performed effectively, and evaluate performance in an objective and positive manner.
Ensure the maintenance and retention of complex records, files, reports, and other documents.
Independently organize work, set priorities, meet critical deadlines, and follow-up on assignments.
Effectively use computer systems, software applications relevant to work performed, and modern business equipment to perform a variety of work tasks.

Responsibilities

Manages the Community Health Work (CHW) programs, including Help Me Grow and Family Support care coordination.
Oversees the CHW services delivery in alignment with CalAIM requirements and the services delivery provided through our care continuum to support young children and families with developmental and behavioral concerns, and preventive care and social support needs.
Ensures program alignment with partner care management plan and ensures coordination between Help Me Grow and ECM services
Supervises and guides CHW staff to deliver high quality services.
Leads CHW service delivery and ensure compliance with CalAIM requirements.
Develops and refines operational workflows and processes to support effective CHW operations.
Coordinates with Managed Care Plan partners to support program alignment and ensure compliance with contractual, quality, and promising practices standards.
Ensures timely, accurate staff documentation to support billing and reporting requirements.
Monitors team performance and communicates findings to management; implements improvements to enhance efficiency and service quality; maximizes effectiveness and ensures alignment with department’s mission.
Recommends and implements goals and objectives, policies and procedures and ensures the program is staffed with qualified employees by supporting hiring, training, performance management, and staff development.
Manages program supervisors by setting expectations, communicating goals, and ensuring quality, timeliness, and policy compliance in daily operations.
Develops program plans, tools, and trainings to clarify roles and strengthen staff and partner performance.

Benefits

Medical, Dental, & Vision Coverage
$1,500 credit per year to spend on benefits
Health and Dependent Care Flexible Spending Accounts (FSAs)
Employer Paid & Voluntary Life & AD&D Insurance
Long-Term Disability Insurance
Retirement Plans including the ACERA Pension Plan
Commuter Benefits
Employee Assistance Plan
paid vacation
paid time off
sick time
17 paid holidays including the week between Christmas Day and New Year's Day as paid time off