Program Supervisor ECM

Vista Community Clinic•Vista, CA

11d•$27 - $29

About The Position

Vista Community Clinic (VCC) is a private, nonprofit, multispecialty outpatient clinic network serving patients across San Diego, Orange, Los Angeles, and Riverside counties. The Program Supervisor ECM provides direct oversight of the Enhanced Care Management (ECM) program for selected managed care plans and care managers, including program development, implementation, supervision, and training. The supervisor works as part of patients’ multidisciplinary care teams and coordinates with ECM members, families, authorized representatives, caregivers, and other support people to address ECM and Community Supports needs. The role partners with the ECM Clinical Nursing Specialist and other program staff to coordinate care for designated populations of focus, integrating primary, behavioral, developmental, and oral health services, long-term services and supports, Community Supports, and resources addressing social determinants of health. The supervisor also maintains a partial caseload and performs care management activities, including outreach, enrollment, assessments, care planning, patient and caregiver coaching, referrals, follow-up, and documentation. The stated pay range is $27.00–$29.00, depending on experience.

Requirements

Bachelor’s degree in social work, psychology, counseling, behavioral science, or another related field.
At least two years of experience in a healthcare setting, preferably providing direct patient care or performing duties involving patient education and advocacy.
Bilingual English/Spanish.
Valid California driver’s license and vehicle insurance, and reliable transportation.
At least one year of lead or supervisory experience.
Strong interpersonal relationship, leadership, and communication skills.
Ability and willingness to work flexible hours, including evenings and weekends.
Excellent verbal and written communication skills for interacting with patients/clients, clinicians, and other staff.
Excellent customer service skills and commitment to providing a high level of customer satisfaction.
Visual acuity and hearing ability sufficient to drive safely.

Nice To Haves

Master’s degree in social work (MSW) or another related field.
Experience working with patients with serious mental illness and/or substance use disorder.

Responsibilities

Supervise assigned program staff, complete associated paperwork and evaluations, and coach direct reports on performance improvement.
Track and review daily billing and coding reports to ensure monthly service expectations are met.
Monitor, assign, and track internal and external program referrals.
Oversee internal program reporting and identify and address deficiencies in performance and quality of care.
Participate in workflow development and assist the grant-writing team as needed.
Attend and facilitate internal staff and department meetings, and attend external partner and collaboration meetings as required.
Identify and foster partnerships with community-based organizations for program referrals.
Assist the Program Manager with outreach and enrollment strategies.
Maintain knowledge of health plan platforms and documentation requirements.
Participate in health plan audits and support the development and implementation of corrective action plans.
Assist in training care managers on workflows and templates.
Maintain a partial caseload of enrolled patients across San Diego health plans, based on program need.
Conduct outreach, enrollment, and care management for populations of focus selected by assigned health plans.
Develop individualized, comprehensive care management plans integrating clinical and nonclinical needs to achieve health goals and improve or maintain functional and health status.
Coach patients and caregivers using evidence-based motivational interviewing and trauma-informed language to support achievable self-management goals.
Act as a point of contact for patients and families involved in the patient’s care team through agreed-upon communication methods.
Conduct appropriate assessments to identify physical, mental, social, and Community Supports needs and help patients develop health care goals.
Visit patients in their homes, where they seek care, or where they prefer to access community services; conduct interviews about health-condition knowledge and motivation to engage in self-management.
Identify and initiate referrals to financial, community, and state support services, including services addressing housing instability and other social determinants of health.
Work with the ECM Clinical Nursing Specialist to monitor medication adherence, management, and reconciliation, including changes during care transitions.
Perform population management tasks such as appointment scheduling, prevention and screening recalls, referral monitoring, patient portal callbacks, and responding to telephone messages.
Document patient conversations accurately and concisely and submit appropriate billing and coding.
Provide culturally appropriate and sensitive services that respect people’s backgrounds, life experiences, and motivations.
Manage caseloads according to program requirements, including timely care planning, follow-up, documentation, and submission.
Serve as a liaison among health plans, the program, and the community.
Participate in health plan ECM-related audits.
Perform other duties as assigned.