Program Supervisor ECM

Vista Community Clinic•Vista, CA

4d•$27 - $29

About The Position

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees. Provide direct oversight to the Enhanced Care Management program for select managed care plans and care managers including program development, implementation, supervision and training. Operate as part of the patients’ multi-disciplinary care team and responsible for interacting directly with the assigned health plan’s ECM Members and/or family, Authorized Representatives (ARs), caretakers and/or other authorized support person(s) as appropriate to coordinate all aspects of ECM and any Community Supports. Work with the ECM Clinical Nursing Specialist and other program staff to care coordinate designated populations of focus panel to ensure appropriate input is obtained to effectively coordinate all primary, behavioral, developmental, oral health, upports (LTSS), Community Supports and other services that address social determinants of health (SDOH).

Requirements

Bachelor’s degree in social work, psychology, counseling, behavioral science, or other related field
Two years’ experience in a healthcare setting, preferably providing direct patient care, or with duties involving patient education and advocacy.
Bilingual English/Spanish
Valid CA driver’s license and vehicle insurance, reliable transportation
Minimum one year 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 skills necessary for communication with patients/clients, clinicians and other staff
Excellent customer service skills and commitment to providing the highest level of customer satisfaction
Visual acuity and hearing ability to drive safely

Nice To Haves

Master’s degree in Social Work (MSW) or other related field
Experience working with patients with a serious mental illness and/or substance use disorder

Responsibilities

Provide supervision to assigned program staff and complete associated paperwork as required, including evaluations.
Responsible for tracking and reviewing daily billing and coding reports to ensure monthly service expectations are met.
Provide coaching to address performance improvement for direct reports.
Monitor, assign, and track internal and external program referrals.
Responsible for oversight of internal program reporting and identifying/addressing deficiencies in performance and quality of care.
Participate in the development of workflows and assist the grant writing team, as needed
Attend and facilitate internal staff and department meetings and external partner and/or collaboration meetings as required
Identify and foster partnerships with community based organizations for program referrals
Assist Program Manager in identifying outreach and enrollment strategies
Maintain knowledge of Health Plans platforms and documentation
Participate in Health Plans Audits and support development and implementation of corrective action plans
Assist in training of Care Manager’s workflows and templates
Perform other duties as assigned
Maintain a partial caseload of enrolled patients across all San Diego Health Plans, based on program need.
Conduct outreach, enrollment and care management to selected population of focus determined by assigned health plan(s)
Develop an individualized comprehensive management care plan integrating clinical and non-clinical needs to achieve health goals designed to improve functional status, health status, or prevent decline
Coach patients and caregivers using evidence-based motivational interviewing techniques and trauma-informed care language to address critical issues to help patients develop achievable self-management care plan goals, presenting new skills using a step-by-step process
Act as point of contact for patients and families involved in patients’ care team through any form of agreed-upon communication
Support patients in the development of health care goals by conducting appropriate assessments that uncover comprehensive physical, mental, social and Community Supports’ needs
Visit patients in their homes or where they seek care, or prefer to access services in their community using and completing patient interviews on health condition knowledge and motivation to engage in self-management
Identify and initiate referrals for social service programs, such as financial, community and state supportive services alleviating housing instability and other social determinants of health
Work with ECM Clinical Nursing Specialist to monitor medication adherence to include medication management and reconciliation periodically for changes, especially at time of care transitions
Perform population management tasks such as appointment scheduling, prevention and screening recalls, monitoring referrals, patient portal callbacks and responding to telephone messages
Ensure proper, concise and accurate documentation of conversations held with patients and appropriate billing and coding are submitted
Provide services in a culturally-appropriate and sensitive manner exhibiting the highest respect of all people and the strengths of their background, life experience and motivations
Manage caseloads according to mandated program requirements to ensure compliance with timely completion of care planning, follow-up activities, documentation and submission timeframes
Serve as liaison between health plan(s), program and community
Participate in health plan ECM-related audits