ECM, SF - Care Manager

HealthRIGHT 360•San Francisco, CA
•Onsite

About The Position

HealthRIGHT 360 is a nonprofit organization providing integrated healthcare services to vulnerable populations, including mental health care, substance use treatment, primary care, and transitional support. Its Enhanced Care Management (ECM) program operates through the Integrated Care Center Clinic, a federally qualified health center in San Francisco offering primary care, behavioral health, addiction treatment, psychiatry, dental care, and other services. The Care Manager provides intensive, client-centered case management to ECM members enrolled in a Managed Care Plan, supporting stability, health, and self-sufficiency. The role coordinates care across clinical and community providers and connects members with resources such as healthcare, substance use treatment, housing, employment, benefits, justice-involved support, family services, and other social services. The position serves patients at the Integrated Care Clinic and across other HealthRIGHT 360 programs in San Francisco. This is a field-based role involving proactive community outreach and frequent travel to meet members at homes, provider sites, and other accessible locations. The Care Manager also has access to office space for case management, supervision, training, and meetings.

Requirements

  • High school diploma or equivalent.
  • At least two years of experience in case management.
  • Current First Aid and CPR certification.
  • Valid California driver’s license and access to registered and insured transportation.
  • Experience working with clients experiencing acute withdrawal from substances.
  • Knowledge of and experience providing trauma-informed services.
  • Strong computer skills, including Outlook, Excel, Word, and PowerPoint.
  • Professionalism, punctuality, flexibility, and reliability.
  • Integrity in handling sensitive information confidentially.
  • Strong problem-solving skills and ability to follow through on tasks.
  • Ability to work effectively both independently and as part of an interdisciplinary team.
  • Ability to communicate at all organizational levels, including with organization leadership and high-level representatives of partner organizations.
  • Ability to work within a frequently changing project scope while maintaining direction and structured priorities.

Nice To Haves

  • Expertise in substance use treatment, relapse prevention, and recovery.
  • Experience delivering evidence-based practices.
  • Experience providing trauma-informed services.

Responsibilities

  • Organize patient care activities, share information with multidisciplinary care team members, and implement activities identified in the Managed Care Plan.
  • Identify people eligible for ECM enrollment from state prisons, county jails, hospitals, and other locations.
  • Engage members and their advocates through in-person meetings, mail, email, text, telephone, and community or street-level outreach.
  • Maintain regular contact with providers involved in members’ care, including justice-involved oversight, and coordinate continuous, integrated services.
  • Refer members to and follow up with primary care, physical and developmental health, mental health, substance use treatment, housing, and other community and social services.
  • Support members’ treatment engagement by coordinating medication reviews or reconciliation, scheduling appointments, providing reminders, arranging transportation, accompanying members to critical appointments, and helping address barriers to care.
  • Work with the multidisciplinary care team to identify care gaps and obtain appropriate input for coordination of primary, behavioral, developmental, oral health, and Community Supports services.
  • Assist clients with intake and complete assessments required by the Managed Care Plan.
  • Monitor client progress toward care-management treatment plan goals and provide input on treatment plans.
  • Assess care-management needs and complete releases of information.
  • Connect clients to benefits, healthcare, employment, housing, community resources, outpatient substance use services, and other available resources.
  • Coordinate communication and external service linkages, including appointments and communication with probation, Family and Children Services, and other parties; schedule child visits; obtain court minute orders; and provide therapy and psychiatry appointment reminders.
  • Collaborate with clients and families to support community reintegration.
  • Work with outside agencies to help clients obtain housing, sober living, recovery services, medical care, employment or education, and other community resources.
  • Complete progress notes within 24 hours of service delivery; write client progress letters and court reports; and complete assigned peer reviews and chart audits in a timely manner.
  • Attend and actively participate in assigned group supervision, case conferences, agency meetings, and team meetings.
  • Participate in training and complete assigned training and Relias courses on time.
  • Communicate and collaborate with medical, mental health, psychiatry, substance use disorder, and other behavioral health team members.
  • Meet members in locations suited to their physical circumstances and individual needs, with frequent travel as required.
  • Perform other duties as assigned.
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