Manager of Reentry Services

Boston Health Care for the Homeless Program•Boston, MA

13d•$60,000 - $96,000

About The Position

The Manager of Reentry Services is part of BHCHP’s Reentry Initiatives for Support and Empowerment (RISE), a multidisciplinary team supporting homeless, incarcerated individuals in Suffolk County before, during, and after release. The role directly oversees outreach, enrollment, and ongoing case management for individuals during the six months surrounding their release, and supervises care coordinators while providing reentry case management to a small patient pool as needed. The manager oversees the RISE patient panel, care coordination and referrals, transitions to long-term care, team communications, documentation, quality monitoring, and compliance and reporting activities. The role works with BHCHP teams, Boston Medical Center clinic leadership, the Suffolk County Sheriff’s Department, and community partners. It also co-facilitates groups and supports training and standardized reentry case management practices across BHCHP. This is a full-time, 40-hour-per-week position, Monday through Friday, 8:30 a.m. to 5:00 p.m. The position is funded through September 30, 2031, with the possibility of renewal; if funding is not renewed, the position will end on that date. The position is patient-facing and non-union.

Requirements

Three to five years of case management experience.
Knowledge of healthy and appropriate boundaries when working with vulnerable populations.
Demonstrated interest and experience working with vulnerable populations, including people with active substance use disorder, histories of incarceration, and/or homelessness.
Comfort with multiple pathways to recovery from substance use disorder and a patient-centered approach that recognizes individual preferences and autonomy.
Understanding of the criminal justice system and the barriers it can present in health care.
Comfort working in medical, criminal justice, and social service settings.
Knowledge of reentry case management needs and how they differ from the general population served by BHCHP.
Knowledge of addiction treatment and opioid overdose prevention and response strategies, or willingness to be trained to become expert in these topics.
Proficiency with computers and the internet; effective use of Microsoft Word, Outlook, Excel, and PowerPoint; and familiarity with RedCap.
Ability to work independently and as part of a multidisciplinary team.
Ability to provide and receive accurate feedback without judgment or discomfort.
Strong problem-solving and multitasking abilities; organization, efficiency, and goal-directed work habits.
Ability to handle confidential information and adapt to unforeseen needs or circumstances.
Strong advocacy skills and knowledge of community-based services, resources, and the local recovery community.
Commitment to fair and culturally appropriate care for diverse populations, including communities of color, LGBTQ communities, non-English-speaking populations, people with histories of incarceration, people with substance use disorders or behavioral health challenges, and people experiencing homelessness.

Nice To Haves

One to two years of supervision experience, specifically supervising case management staff.

Responsibilities

Supervise reentry care coordinators and support their assessment of patients’ financial, housing, legal, addiction treatment, and other social service needs; help develop patient-centered care coordination plans and provide post-release support and follow-up.
Provide timely feedback to care coordinators to help them address factors specific to each patient’s release, and provide reentry care coordination to a small pool of patients as needed.
Manage the RISE patient panel, including assigning care coordinators and managing caseloads.
Oversee comprehensive referral and transition plans for RISE patients during the two to four months after release.
Support care coordinators in transitioning patients to a long-term care team within six months of enrollment.
Oversee care coordinators’ referrals to RISE services, including psychiatry, MOUD, legal case management, recovery coaching, and behavioral health.
Serve as BHCHP’s point of contact for reentry case management questions and needs; coordinate contact and care coordination for BHCHP patients from other teams upon release.
Facilitate in-person jail visits by BHCHP staff as needed and, with BHCHP’s AmeriCorps Program Manager, select, onboard, train, and supervise the annual RISE team AmeriCorps position.
Attend QEC on behalf of the RISE team as needed; use population health tools such as Azara and Epic to identify screening and follow-up needs and monitor quality metrics.
Identify reentry case management issues and barriers to care, and problem-solve with the clinic project director, BMC clinic leadership, and SCSD leadership.
Ensure care coordinators follow documentation protocols and best practices; document patient encounters in BHCHP’s EMR and maintain accurate, current non-clinical records and standardized patient data.
Communicate regularly with RISE team members about patients’ status and needs using HIPAA-compliant email, TigerText, phone, and BHCHP’s EMR.
Support the project director in meeting reporting and evaluation requirements from agencies funding RISE services and collaborate with internal and evaluation partners.
Order RISE team supplies with the project director as needed.
Co-facilitate groups on care coordination, overdose prevention, and recovery-related topics for incarcerated individuals at NSJ and SBHOC.
Attend SCSD bimonthly programming and orientation meetings and other SCSD meetings as needed.
Review the RISE patient panel weekly with care coordinators and the project director, focusing on new patients, patients experiencing difficulties, and upcoming releases; lead the weekly RISE team huddle.
Serve as BHCHP’s contact for ATR and supervise management of the ATR referral process.
Develop and implement standardized documentation, billing, and compliance practices for reentry case management across payors and programs, including MassHealth’s CSP-JI, working across departments and sites to align policies and procedures with regulatory and contractual requirements.
Ensure staff have the guidance and tools needed to implement reentry programs as intended.
Invite community agencies to provide staff trainings or talks on reentry health care needs.
Update CM Wiki and BHCHP Wiki pages with incarceration-related resources and maintain contact lists for SCSD staff and community agencies involved in reentry work, including medical records contacts for sheriff’s departments in Massachusetts.
Obtain clearance to enter Suffolk County Sheriff’s Department correctional facilities as a contractor within three months of hire.