AS Design AS Design

Director, Care Management

POSITION TITLE:
Director, Care Management

DEPARTMENT:
Behavioral Health

REPORTS TO:
Chief Medical Officer

POSITION SUMMARY:
The Director of Care Management oversees the implementation, development, and management of the care management programs. This position ensures compliance with all regulatory requirements, establishes efficient processes for patient care, and provides leadership to the Care Management team. The Director collaborates with case management, behavioral health, and medical providers, and community resources to deliver patient-centered care and achieve optimal outcomes. The incumbent manages and supervises onsite case managers and reports to the Chief Medical Officer, with additional reporting responsibilities to the facility leadership. The ideal candidate has experience in management, working at a facility as part of a treatment team, and in business development.

CORE JOB RESPONSIBILITIES:

  • Develop and communicate continuum of care processes across the clinic

  • Oversee day-to-day care management program operations, ensuring efficient and effective delivery of services

  • Drive organizational commitment, executive buy-in, use adoption, execution oversight, and key metrics for implementation of key continuum of care strategies, investments and initiatives

  • Supervise and provide clinical and administrative oversight to all staff involved in care management activities, fostering a supportive and high-performance work environment.

  • Establish an annual zero-based budget that aligns to SFCHC’s continuum of care philosophy and strategic plan and meets or exceeds budgeted operating margin for SFCHC

  • Establish relationships and linkages with key clinical, finance, and ancillary support teams across the organization

  • Establish key performance indicators and related financial reports to gauge continuum of care performance against plan.

  • Establish effective continuum of care governance framework across the organization

  • Maintain and communicate prioritized portfolio of projects aligned to continuum of care strategy

  • Support and lead implementation of all continuum of care-related initiatives

  • Work collaboratively and build relationships with clinic leaders, C-suite executive team, and others to ensure excellence in the delivery of an integrated services model (HIV, infectious disease, behavioral health, and health education) that comprehensively and seamlessly addresses patient needs.

  • Strengthen provider relationships, build trust, and gain provider engagement for enhanced adoption of continuum of care clinical and financial systems as it relates to integrated patient quality management

  • Provide leadership to execute on system quality, operational and capital budgets, consistent with agreed on timelines and objectives

  • Develop and operationalize care policy and processes in conjunction with CMO and Medical Clinic Director

  • Improve case management and social workers’ competencies to achieve proficiency on job-specific competency tests

  • Measure and consistently improve provider satisfaction metric in annual agreed on increments

  • Create and keep updated continuum of care policy and procedure manual, including managing its implementation

  • Develop and implement clinic-wide continuum of care strategy

SUPPORTING JOB RESPONSIBILITIES:

  • Attend workshops, training, and meetings as needed, and as requested.

  • Perform other duties as assigned by COO or Administration.

ATTRIBUTES:

Accountable:  Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; openly discusses his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight to make adjustments to improve their effectiveness; courage to have the difficult conversation.

Communicator:  Shares information.  Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message.

Customer Focused: Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to internal customers.

Decision Maker/Judgment:   Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions.

Results Oriented:  Is focused on outcomes and accomplishments; follows through on commitments; can be counted upon to successfully execute on goals; motivated by achievement and a need for closure; has an attention to detail and is both efficient and effective in achieving a high level of measurable outcomes; persists in achieving goals despite obstacles.

Supports the Mission :  Actively supports SFCHC’s mission and values; uses individual skills to add value to the mission of “providing high-quality state-of-the-art health care services, as well as prevention and education services in a supportive atmosphere to every person, particularly the most vulnerable of the San Fernando Valley, regardless of religion, race, age, sex, or personal income.”; aligns actions around organizational goals; gives priority to organizational mission and value when making decisions.

QUALIFICATIONS:

Required education, experience, training

  • Master’s degree in a healthcare-related program of study with nursing or social work preferred;

  • Minimum of five years’ experience in directing a continuum of care/integrated case management department with a minimum of ten years in an FQHC or similar clinic; related experience in a hospital may be considered

  • Must be a Licensed Clinical Social Worker

  • Appropriate licenses as required

 Additional experience, training

  • Successful experience as part of a productive and collaborative healthcare team, networking, driving change and improvements within multi-disciplinary teams.

  • Working knowledge of integrated behavioral health model within a primary care setting.

  • Applicable experience with e-Clinical Works EHR system and other interoperable software.

  • Experience with developing and delivering staff training and in-services preferred.

  • The ideal candidate has experience in management, working at a facility as part of a treatment team, and in business development.

Job Type:
Full-time

Salary Range:
$140,000 to $160,000.00

Expected hours:
40 hours per week

Schedule:
Day shift; no weekends

Work setting:

  • Clinic

  • Outpatient

Work location:
In Person

Benefits:

  • 401(k)

  • Dental insurance

  • Flexible spending account

  • Health insurance

  • Life insurance

  • Paid time off

  • Vision insurance

Education:
Master’s degree in a healthcare-related program

Language:
English/Spanish (bilingual)

Read More