Supervisor, Care Management - ECM, OC

JOB SUMMARY

HealthRIGHT 360, a nonprofit organization and a family of programs, is committed to providing accessible and comprehensive healthcare services to vulnerable populations. Our mission is to tackle systemic barriers to healthcare and promote health equity for all. We offer a wide range of services, including mental health care, residential and outpatient substance use treatment, and primary health services. Additionally, we provide transitional support for individuals re-entering the community after involvement in the criminal justice system. By integrating physical and behavioral health, we empower individuals to overcome challenges by addressing social determinants of health, fostering resilience, and facilitating recovery.

CalAIM, a Department of Health Care Services (DHCS) initiative, aims to improve Medi-Cal recipients' quality of life and health outcomes through system reforms. It introduces Enhanced Care Management (ECM), a statewide Medi-Cal Managed Care Plan (MCP) benefit, that offers person-centered, community-based highest care management tier within the Medi-Cal MCP Population Health Management continuum. Participating members are assigned a Care Manager who will meet them wherever they are: on the street,
in a shelter, in their provider’s office, or at home to coordinate their health-related care and services, ensuring holistic approach to their well-being. In addition, ECM offers community-based services to address health-related social needs to help members live healthier lives and avoid more costly levels of care. Some examples include support to secure and maintain housing, access to medically tailored meals for short-term recovery, and various other community-based services.

The Supervisor, Care Management at HealthRIGHT 360 is responsible for the day-to-day leadership, oversight, and performance of the Enhanced Care Management (ECM) program in Orange County. This role supervises a team of Lead Care Managers (LCMs), ensuring the delivery of high-quality, person-centered care coordination services to Medi-Cal members with complex medical, behavioral health, and social needs. The ECM Supervisor provides clinical and operational guidance, supports staff development, ensures program compliance with CalAIM and Managed Care Plan requirements, and monitors key performance indicators related to member engagement, documentation, care planning, and outcomes.

Working closely with internal interdisciplinary teams and community partners, the ECM Supervisor promotes a whole-person approach to care by addressing physical health, behavioral health, substance use disorders, housing instability, justice involvement, and other social determinants of health. The role includes staff recruitment, onboarding, training, coaching, and performance management, while maintaining a strong field presence to support outreach, engagement, and care coordination efforts. The ECM Supervisor serves as a subject matter expert on ECM services and plays a critical role in ensuring members receive timely, coordinated, and equitable access to healthcare and community-based resources that improve health outcomes and quality of life.

This position requires strong leadership, care management expertise, and a commitment to advancing health equity for vulnerable populations through collaborative, community-based service delivery.

KEY RESPONSIBILITIES

Project Organization and Integration
• Meet with CalOptima representatives to understand population needs, referral processes, data-entry needs, and billing processes.
• Create an informed foundation for the program to allow for expansion into the community.

Engagement and Enrollment
• Identify eligible individuals from State Prisons, County Jails, hospitals, and other locations for enrollment into ECM.
• Utilize multiple engagement strategies including direct communication, community outreach, and street-level outreach.

People Supervision
• Recruit, onboard, train, and terminate employees.
• Provide supervision and guidance to staff as needed.
• Ensure proper coverage by creating and modifying work schedules and approving time off requests.
• Ensure staff are properly trained and in compliance with their position expectations, performance goals, and organization’s standards, policies, and procedures.
• Provide ongoing feedback, manage performance of direct staff including providing performance improvement plans, formal written warning notices, and terminations if necessary.

Client Care Activities
• Organize client care activities according to CalOptima's Managed Care Plan (MCP).
• Share information with the member's multi-disciplinary care team.
• Implement activities identified in the MCP.
• Provide support to engage members in their treatment including medication review, appointment scheduling, transportation coordination, and addressing barriers to engagement.
• Assist with intake by completing required assessments.
• Connect members to benefits, healthcare services, employment, housing, and community resources.
• Monitor client’s progress toward achieving treatment plan goals and provide treatment plan input.

Care Coordination
• Maintain regular contact with all providers involved in the member's care team.
• Ensure continuous and integrated care among all service providers.
• Refer and follow up with primary care, mental health, substance use disorder treatment, and necessary community-based services.
• Collaborate with clients and their families for community reintegration.
• Collaborate with outside agencies to obtain needed community resources (housing, sober livings, substance abuse recovery agencies, medical facilities, employment/education agencies, DPSS, DMV or other needed resources).
• Communicate collaboratively with all members of the behavioral health team.

Field-Based Responsibilities
• Met ECM clients at their physical locations and cater to their individual needs.
• Conduct case management activities in locations most attainable and desirable for clients.
• Have access to office space for case management activities and attend required trainings and meetings as needed.
• Submit mileage for field-based case management activities for reimbursement.

Administration and Other Duties
• Write and complete all progress notes within 24 hours of service delivery.
• Write client progress letters and court reports.
• Develop and maintain training-related workflows and procedures.
• Complete assigned Peer Reviews (Chart Audits) in a timely manner.
• Actively participate in assigned Clinical Group Supervision, agency, and team meetings.
• Participate in training opportunities and complete assigned training in a timely manner.

And perform other duties as assigned.

QUALIFICATIONS
Credentials and Experience
•High school diploma or equivalent with 2 years’ experience working with Medi-Cal, Medi-Care, and private Medical Insurance plans,ORBachelor’s degree in a human services-related field.
•Valid First Aid and CPR certification or ability to obtain within 30 days of hire.
•Valid California Driver’s License and access to registered and insured transportation.
Experience
•Minimum 2 years’ experience in the human service field and/or demonstrated expertise in substance abuse treatment, relapse prevention, and recovery.
•Experience with Medi-Cal.
•Case management experience.
•Experience providing trauma-informed services preferred.

PHYSICAL REQUIREMENTS

In an 8-hr workday, employee is required to perform work:

In an average month, employee must travel out of town:

In an 8-hr workday, employee must:

Job requires: