Clinical Specialist, ECM

HealthRIGHT 360 • Santa Ana, CA

2d

About The Position

HealthRIGHT 360 is a nonprofit organization dedicated to providing accessible healthcare to vulnerable populations, aiming to tackle systemic barriers and promote health equity. They offer a range of services including mental health care, substance use treatment, and primary health services, along with transitional support for individuals re-entering the community. Their approach integrates physical and behavioral health to help individuals overcome challenges by addressing social determinants of health, fostering resilience, and facilitating recovery.

CalAIM is an initiative by the Department of Health Care Services (DHCS) to enhance the health outcomes of Medi-Cal recipients through various reforms. A core component of CalAIM is the Enhanced Care Management (ECM) benefit and Community Supports, which Managed Care Plans can utilize to address the complex needs of specific populations.

The Clinical Specialist will support HealthRIGHT 360’s ECM programs by offering clinical oversight, consultation, and guidance for complex member cases. This role is crucial for ensuring that care is person-centered, evidence-based, and compliant with regulations, while also assisting care teams in coordinating behavioral health, physical health, and community-based services for high-need Medi-Cal members.

Requirements

• Master’s degree in Psychology, Counseling, Social Work, Marriage and Family Therapy, or related field from an accredited graduate school.
• Valid licensure from the California Board of Behavioral Sciences as an LMFT, LPCC, or LCSW.
• Valid First Aid and CPR certification or ability to obtain within 30 days of hire.
• Minimum of 3 years clinical experience, with at least 1 year in care management, population health, or related field.
• Experience working with clients experiencing acute withdrawal from substances.
• Previous Clinical experience working with individuals recently released from jail or prison or experiencing homelessness.
• Attend required meetings, trainings, and workshops.
• Complete assigned trainings in a timely manner.

Nice To Haves

• Valid California Driver’s License and access to registered and insured transportation preferred.
• Experience working with Medi-Cal, Medi-Care, and private medical insurance plans preferred.
• Experience providing trauma-informed services preferred.

Responsibilities

• Support development and implementation of clinical strategies aligned with program goals.
• Integrate evidence-based practices into care delivery.
• Evaluate and recommend clinical models, care pathways, and best practices.
• Partner with leadership on quality improvement initiatives.
• Provide clinical oversight and guidance to the ECM team.
• Ensure clinical interventions are effective, appropriate, and efficient.
• Review Comprehensive Assessments, additional assessments, and Care Plans for quality and compliance.
• Ensure adherence to local, state, and federal regulations.
• Develop and deliver trainings on clinical topics, care coordination, and student engagement.
• Provide ongoing consultation and support to staff, including complex case debriefs.
• Offer clinical and administrative guidance as needed.
• Support escalated or high-acuity ECM member cases.
• Trainings may be delivered in-person, virtually, in field-based settings, or as otherwise assigned.
• Serve as a clinical liaison between ECM, providers, and community resources.
• Participate in multidisciplinary teams, committees, and ICT meetings.
• Contribute to care plan development and updates.
• Maintain timely and accurate documentation in EHR/provider systems (within 24 hours).
• Attend required meetings, trainings, and workshops.
• Complete assigned trainings in a timely manner.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level