Lead Care Manager

Correctional Health Treatment Centers•San Diego, CA

5d•Onsite

About The Position

About Us: At Correctional Health Treatment Centers, Inc., we are committed to providing compassionate, high-quality care for our clients. We strive to create an environment where our team members can grow and thrive while making a meaningful impact on the lives of those we serve. As a leader in the healthcare industry, we value professionalism, integrity, and the drive to enhance our clients' well-being. Correctional Health Treatment Centers (CHTC) is a community-based, non-profit organization based in Southern California with the mission to increase access to care for individuals who are currently or were formerly involved in the criminal justice system. CHTC provides a continuum of holistic, person-centered care by addressing individuals’ medical and behavioral health needs as well as the social determinants of health needs that directly impact their well-being, such as homelessness. CHTC staff represent a diverse makeup of specialties, including medical directors, behavioral health specialists, case managers, socials workers, community health workers, front line jail operations and management, and reentry services coordinators. The CHTC CalAIM Program offers services in alignment with California’s Medi-Cal Transformation Initiative, which seeks to improve the quality of life and health outcomes of Medi-Cal Members. These services include Enhanced Care Management (ECM), a comprehensive set of case management services to support the highest-need and most-vulnerable individuals by coordinating services for their complex clinical and non-clinical needs and navigating the healthcare and social service systems. Job Summary: We are seeking an experienced and dedicated Lead Care Manager to join our team. The successful candidate will oversee and coordinate care management services, ensuring our clients receive optimal support and resources. This role requires effective communication, exceptional organizational skills, and a strong commitment to client-centered care.

Requirements

Experience in a care management or healthcare setting preferred but not required
Strong understanding of healthcare regulations, policies, and best practices.
Experience in case management and interacting with clients, some with social determinants of health (SDoH) concerns.
Excellent communication, interpersonal, and problem-solving skills.
Proficiency in care management software and electronic medical records, Microsoft Office and similar software.

Nice To Haves

Bachelor's degree in Social Work, Nursing, or a related field preferred, but no required.
Lived experience in such areas such as homelessness, unstable housing, substance use disorders, mental health issues, abuse, family incarceration, foster care, exposure to violence, and financial instability.
Experience with Medi-Cal Transformation (CalAIM), Enhanced Care Management (ECM), or Community Supports Services.
Bilingual English and one of the local threshold languages.

Responsibilities

Serve as the primary point of contact for ECM Program clients, their family, authorized representative (AR), caregiver, other authorized support person(s) as appropriate , and the multidisciplinary care team providing care to the client.
Conduct comprehensive assessments and develop comprehensive Care Plans with input from the client and/or their parent, caregiver, guardian and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services.
Coordinate the delivery of services from various social service providers within Correctional Health Treatment Centers and the community for ECM Program participants.
Provide consultation, case management services, and guidance to ECM and Community Support (CS) Program clients, as well as liaison services with other agencies according to each client’s case plan.
Assist in formulating SMART goals, implementing the case plan, supervising its progress, and making revisions as needed.
Initiate and maintain communication with other agencies and members of the treatment team for each client.
Conduct weekly face-to-face visits (or as often as necessary) as part of the Care Plan development when necessary.
Develop individualized Care Plans that address clients’ clinical and non-clinical needs.
Write timely progress and quarterly reports, as well as case notes.
Develop a transition plan for each client that includes post-planning and instruction.
Provide member and family education about chronic medical and behavioral health conditions to improve health literacy.
Gather input from other ECM Care Team members to prioritize member cases for systematic population/caseload review.
Work with members to identify health/wellness goals and incorporate these goals into Care Plans that facilitate communication among members and providers.
Consult with the ECM Care Team members about clinical concerns or questions and provide educational training on chronic disease states, prevention, treatment, medications, and healthy living.
Track and ensure required assessments and screenings are performed.
Keep client files updated with medical, legal, and social service-related documents.
Attend trainings and regular meetings.
Perform other duties and responsibilities as required by the ECM Program Supervisor.