Health Homes Manager

Job Overview

The Health Homes Program (HHP) is designed to serve eligible Medi-Cal beneficiaries with multiple chronic conditions who are frequent utilizers and may benefit from enhanced care management and coordination. The HHP coordinates the full range of physical health, behavioral health, and community-based long-term services and supports (LTSS) needed by eligible beneficiaries.

The HealthRIGHT 360 Health Homes Manager  (HHM) has oversight of the entirety of the Health Homes Program and care coordinators. The HHM ensures a seamless continuum of care for HR360 patients. The HHM also ensures collaborating with the HR360 multidisciplinary care team as well as external referral sources to coordinate the patient's care. 

Key Responsibilities

Leadership Responsibilities:

  • Able to read multidisciplinary team in providing seamless continuum of care and coordination for high need, high risk populations.
  • Champions quality improvement efforts and works with the multi-disciplinary and QI team to achieve quality outcomes.
  • Acts a liaison with other HR360 departments and programs to create and maintain systems of care coordination.
  • Acts a liaison with external referral resources and programs to create and maintain systems of care coordination.

Management responsibilities:

  • Oversees team of care coordinators at various sites.
  • Sets up and ensures systems of care coordination to enhance outcomes for high-risk patients.

Care coordination responsibilities:

  • Helps to create and provide oversight for care coordination activities. 
  • Works with care coordination and healthcare teams to ensure a Health Action Plan (HAP) is created for all Health Homes patients and other patients requiring care.
  • Ensures that goals of individual patients HAP are being met.

Education and Knowledge, Skills and Abilities

  • Master's degree from accredited college or university or equivalent experience 
  • Experience managing multi-disciplinary care teams
  • Understanding of high need patient population
  • Experience working homeless, criminal justice, or other underserved populations
  • Experience with trauma informed care and harm reduction
  • Understanding of social determinants of health and impact on patient well being
  • Must not be on active parole or probation
  • Culturally competent and able to work with a diverse population
  • Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications
  • Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
  • Professionalism, punctuality, flexibility, reliability are imperative
  • Excellent verbal, written, and interpersonal skills
  • Integrity to handle sensitive information in a confidential manner
  • Action Oriented
  • Strong problem-solving skills
  • Excellent organization skills and ability to multitask and juggle multiple priorities 
  • Outstanding ability to follow-through with tasks
  • Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility
  • Strong initiative and enthusiasm and willingness to pitch in whenever needed
  • Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations
  • Able to work within a frequently changing project scope while maintaining overall direction and structured priorities

Desired:

  • Social work degree or nursing degree
  • Bilingual in Spanish 
  • Knowledge of co-occurring disorders and trauma informed treatment
  • Knowledge of clinical documentation (treatment plans, progress notes etc.)
  • Experience working with criminal justice population 
Compensation: TBD
Type: Salary/ Exempt
Benefits: HealthRIGHT 360 offers a competitive benefits package.
City: San Francisco, CA
Hours/wk: 40

Job Location