Supervisor, Care Management - ECM, OC
About The Position
HealthRIGHT 360 is a nonprofit organization providing integrated healthcare services to vulnerable populations, including mental health care, substance use treatment, primary health services, and transitional support for people returning to the community after involvement in the criminal justice system. Its work addresses physical and behavioral health needs alongside social determinants of health. The Supervisor, Care Management leads the day-to-day operations and performance of the Enhanced Care Management (ECM) program in Orange County. The position supervises Lead Care Managers and guides the delivery of person-centered care coordination for Medi-Cal members with complex medical, behavioral health, and social needs. The supervisor provides clinical and operational guidance, develops staff, ensures compliance with CalAIM and Managed Care Plan requirements, and monitors performance measures involving engagement, documentation, care planning, and outcomes. Working with interdisciplinary teams and community partners, the supervisor supports whole-person care addressing physical and behavioral health, substance use disorders, housing instability, justice involvement, and other social needs. The role includes recruiting, onboarding, training, coaching, and managing staff, as well as maintaining a field presence to support outreach and care coordination. The supervisor serves as a subject matter expert on ECM and helps ensure members receive timely, coordinated access to healthcare and community resources.
Requirements
- High school diploma or equivalent and two years of experience working with Medi-Cal, Medicare, and private medical insurance plans, or a bachelor's degree in a human services-related field.
- At least two years of experience in the human services field and/or demonstrated expertise in substance abuse treatment, relapse prevention, and recovery.
- Experience with Medi-Cal.
- Case management experience.
- Valid First Aid and CPR certification, or ability to obtain certification within 30 days of hire.
- Valid California driver's license and access to registered and insured transportation.
Nice To Haves
- Experience providing trauma-informed services.
Responsibilities
- Meet with CalOptima representatives to understand population needs, referral processes, data-entry needs, and billing processes, and establish a foundation for program expansion.
- Identify eligible individuals from state prisons, county jails, hospitals, and other locations for ECM enrollment; use direct communication, community outreach, and street-level outreach to engage them.
- Recruit, onboard, train, supervise, and, when necessary, terminate employees; provide guidance, ensure coverage through work schedules and time-off approvals, and manage staff performance and compliance with role expectations and organizational policies.
- Organize client care activities according to CalOptima's Managed Care Plan and share information with members' multidisciplinary care teams.
- Support member engagement in treatment through medication review, appointment scheduling, transportation coordination, and addressing barriers to engagement.
- Assist with intake by completing required assessments; connect members to benefits, healthcare, employment, housing, and community resources; monitor progress toward treatment-plan goals and provide treatment-plan input.
- Maintain regular contact with providers and promote continuous, integrated care; refer and follow up with primary care, mental health, substance use disorder treatment, and community-based services.
- Collaborate with clients, their families, and outside agencies to support community reintegration and secure resources such as housing, recovery services, medical care, employment, education, and public services.
- Meet ECM clients at locations suited to their needs and conduct field-based case management; use office space and attend required trainings and meetings as needed; submit mileage for reimbursement.
- Complete progress notes within 24 hours of service delivery and prepare client progress letters and court reports.
- Develop and maintain training-related workflows and procedures; complete assigned peer reviews and chart audits promptly.
- Participate in clinical group supervision, agency and team meetings, and training opportunities; complete assigned training on time.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
