Enhanced Care Management Supervisor (5445)

MERCY HOUSE•Santa Ana, CA

1d•Hybrid

About The Position

The Housing Solutions Supervisor, Enhanced Care Management is a direct service position responsible for overseeing care coordination of high-need members enrolled in Medical Managed Care. This position will ensure the ECM Lead Care Managers are developing a health needs assessment and care plans and providing linkages to medical, psychiatric, social, educational, and other services as needed. This position ensures the team is using best practices (i.e., motivational interviewing, trauma-informed care, and harm reduction approaches). The Housing Solutions Supervisor, Enhanced Care Management is responsible for supporting and motivating approximately 5-7 ECM Lead Care Managers. This position requires some travel to the various regions in which Mercy House operates.

Requirements

Bachelor’s degree in Social Work or a related field is preferred
Persons with less than a BA or BS degree but with at least 2 years of direct life experience working with long-term homeless, low-income, and diverse populations and with working knowledge of mental health and addiction issues are welcome to apply
Minimum of 2 years of experience in care coordination and case management for the following populations: individuals and families experiencing homelessness, individuals at risk for avoidable hospital stays (high utilizers), individuals with serious mental health and or SUD, adult nursing facility residents transitioning to the community, adults with intellectual or developmental disabilities
Must possess skills related to outreach and engagement, care planning, care coordination, health promotion, transitional care support, member and family education, and social services coordination
Experience working in chemical health, mental health, and co-occurring disorders is preferred
Knowledge of confidentiality and the legal and ethical issues pertaining to case management
Experience with HMIS data entry and CalOptima Health strongly preferred
A valid California driver’s license, proof of insurance, and a reliable vehicle are required.
Must be comfortable utilizing your own vehicle to conduct home visits, visit clients at shelters, meet clients in the community, etc.
A flexible work schedule including some schedule changes, some weekends, and evening shifts to meet the department’s needs
Ability to oversee provision of ECM services and implementation of the care plan
Detail-oriented and computer proficiency in Microsoft Word and Excel required
Excellent leadership and team management skills
Strong analytical and problem-solving abilities
Excellent communication and interpersonal skills
Detail-oriented with strong organizational skills
Ability to handle confidential information with discretion
Strong organizational and time management skills
Ability to work independently and in a team environment
Ability to lift up to 50 pounds
Prolonged periods of sitting at a desk and working on a computer

Nice To Haves

Experience working in chemical health, mental health, and co-occurring disorders is preferred
Experience with HMIS data entry and CalOptima Health strongly preferred

Responsibilities

Maintain a small caseload of 5 to 7 clients at any given time
Engage eligible members in services and help address barriers
Offer services where the member lives, seeks care, or finds most easily accessible and within CalOptima Health guidelines
Accompany members to office visits as needed and according to CalOptima Health guidelines
Advocate on behalf of the member with health care professionals
Collaborate with area hospitals, behavioral health providers, specialists, dental providers, providers of services for Long-Term Services and Support (LTSS), and other associated entities such as Community Supports as appropriate to coordinate member care
Be knowledgeable of community resources and refer members as needed
Keep accurate, up-to-date case files including documentation on all clients, including but not limited to Health Needs Assessments, Care Plans, and case notes in CalOptima Connect
Complete all paperwork in a timely and accurate manner that ensures payment to the agency from various sources
Demonstrate leadership and team-building qualities to implement the mission, ensure quality services, and core values of the agency
Train and direct new ECM Lead Care Managers and assist them with day-to-day questions relating to the completion of their job assignments
Oversee quality control of case files on a quarterly basis to ensure accurate, up-to-date documentation on all clients, including but not limited to Health Needs Assessments, Care Plans, and case notes in CalOptima
Provide support and guidance to ECM Care Coordinators as necessary
Coordinate training and orientations as needed
Meet with identified staff individually, bi-monthly or as needed
Facilitate team meetings, bi-monthly or as needed
Conduct 90-day probation and annual reviews for ECM Lead Care Managers
Approve and monitor monthly mileage reimbursement requests
Keep track of and review monthly invoices
Keep up with the after-hours cellphone that is assigned to program staff and provide on-call coverage as needed
Assist Program Manager in overseeing the day-to-day operations for the CalAIM/ECM Program in the Manager’s absence
Attend staff and community meetings as assigned by the Program Manager or Housing Solutions Director
Attend trainings that increase knowledge of effectively meeting clients’ needs
Willingness to gain knowledge and understanding of Adult Rehabilitative, Mental Health Services, and Substance Abuse Treatments
Other duties as assigned