Clinical Care Manager

Health Plan of San Mateo; Golden Horseshoe; Remote; CAD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Clinical Care Manager to join their dynamic team. In this impactful role, you'll conduct comprehensive assessments, design personalized care plans, and collaborate with network providers to ensure seamless care transitions. This position offers the opportunity to work across departments and with community partners, promoting efficient resource utilization and improving health outcomes. With a supportive, mission-driven environment, this role is perfect for those passionate about making a meaningful impact in healthcare. Join a team that values your contributions and supports your professional growth!

Benefits

100% HPSM-paid medical, dental, and vision coverage

Fully funded life insurance and long-term disability coverage

Generous retirement plan

Ample paid time off

Tuition reimbursement

Robust employee wellness program

Qualifications

• Bachelor’s degree required; two years of clinical experience preferred.
• Familiarity with case management principles and community resources.

Responsibilities

• Manage a panel of assigned members to enhance their quality of life.
• Conduct thorough assessments and develop individualized care plans.
• Lead interdisciplinary care team meetings for coordinated care.

Skills

Communication Skills

Interpersonal Skills

Collaboration Skills

Ability to Manage Multiple Priorities

Education

Bachelor’s or Associate’s degree

Job description

801 Gateway Blvd, South San Francisco, CA 94080, USA ● Virtual Req #129

Monday, April 7, 2025

Are you passionate about making a meaningful impact on health outcomes? Join our dynamic team as a Clinical Care Manager at Health Plan of San Mateo (HPSM), where you’ll play a pivotal role in transforming the lives of our members! In this role, you’ll conduct comprehensive assessments, design personalized care plans, and collaborate with network providers to ensure seamless care transitions. You’ll work across departments and with community partners to promote efficient resource utilization and improve health outcomes. Whether you're a seasoned professional or just starting, HPSM offers an opportunity to grow in a supportive, mission-driven environment.

Key Responsibilities

• Manage a panel of assigned members, guiding them along the continuum of care to enhance their quality of life and functional level.
• Conduct thorough assessments of physical health, psychosocial, functional abilities, and social determinants of health.
• Develop individualized care plans and connect members to necessary services and community supports.
• Lead interdisciplinary care team meetings and care transitions to promote clear communication and coordinated care.
• Educate members, caregivers, and volunteers on benefits, medications, and available resources.

Requirements

These are the qualifications typically needed to succeed in this position. However, you don’t need to meet every requirement to apply.

• Education & Experience: Bachelor’s or Associate’s degree required. Two years of clinical experience and three years of managed care experience preferred. Valid California license as an RN, LCSW, LMFT required (PHN preferred). Unlicensed MSW/ASW candidates welcome to apply.
• Knowledge: Familiarity with case management principles, Medicare and Medi-Cal programs, community resources, and HIPAA regulations.
• Skills & Abilities: Strong communication, interpersonal, and collaboration skills. Ability to manage multiple priorities and work independently.
• Other Requirements: Member-centric approach to care coordination and the ability to adapt to a dynamic healthcare environment.

Benefits

• 100% HPSM-paid medical, dental, and vision coverage for employees (dependents' premiums are 90% covered by HPSM).
• Fully funded life insurance, AD&D, and long-term disability (LTD) coverage.
• Generous retirement plan with HPSM contributing an equivalent to 10% of your annual salary.
• Ample paid time off: 12 holidays, 12 sick days, and vacation starting at 16 days per year.
• Tuition reimbursement to support your professional growth.
• A robust employee wellness program to promote your well-being.

It is HPSM's policy to provide equal employment opportunity for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.