Clinical Program Manager, Enhanced Care Management

Wayfinder Family Services; Martinez (CA); Hybrid; USD 85,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off

Medical, dental, vision, life, and LTD

401(k) with employer match

Employee referral program

Tuition assistance

PSLF eligible

FSA plans

Equal Opportunity Employer

Job summary

Wayfinder Family Services is seeking a Clinical Program Manager to oversee the ECM Services Unit, ensuring quality of services for high-need clients enrolled in Medi-Cal managed care. The role reports to the Community Mental Health Program Director and focuses on coordinating care and improving service delivery in a hybrid work environment.

Responsibilities include supervising charting and documentation, staff evaluations, guiding program goals, monitoring effectiveness, ensuring contract

Responsibilities

• Overseeing charting and documentation standards adhering to ECM contracts with Managed Care Plans (MCPs).
• Conducting staff performance reviews.
• Participates in the development and implementation of goals, strategic initiatives, objectives, policies, and priorities for assigned areas of responsibility.
• Monitoring and evaluating the effectiveness and efficiency of programmatic service delivery.
• Contract compliance activities, including meeting the contract objectives and documentation requirements, coordinating evaluation activities, and other performance-related issues.

Job description

At Wayfinder Family Services, we understand the unique challenges facing some of our state’s most vulnerable children, youth and adults. Those with disabilities, those without a home of their own, those who have been abused and many, many more. We answer the call for them. We believe in the amazing potential in, and for, each and every one of them. And, together, we find a way to turn that potential into reality.

Program And Role Summary

The primary focus on the Clinical Program Manager is to ensure the quality of services provided by the ECM Services Unit that addresses the clinical and non-clinical circumstances of high-need clients enrolled in Medi-Cal managed care. The supervisor works under the direction of the Community Mental Health Program Director. ECM services provide a whole-person approach to children, youth and families experiencing complex medical and psychosocial challenges to minimize the likelihood of preventable hospital and emergency department admissions. Services include outreach and engagement, providing person-centered care coordination, developing care plans, and providing linkages to medical, psychiatric, social, educational and other services as needed.

Hybrid role. Salary: 85,000 to 90,000 a year

Primary Responsibilities

• Overseeing charting and documentation standards adhering to ECM contracts with Managed Care Plans (MCPs).
• Conducting staff performance reviews.
• Participates in the development and implementation of goals, strategic initiatives, objectives, policies, and priorities for assigned areas of responsibility.
• Monitoring and evaluating the effectiveness and efficiency of programmatic service delivery.
• Contract compliance activities, including meeting the contract objectives and documentation requirements, coordinating evaluation activities, and other performance-related issues.
• Other duties as outlined in the position description.

Qualifications

Benefits

• Paid Time Off: Generous Paid Time Off (PTO) policy, 11 paid holidays, plus five winter holidays
• Medical, dental, vision, life, and long-term disability insurance
• 401(k) retirement plan with employer match up to 4%
• Employee referral program: Encourage your colleagues to join us
• Education tuition assistance program: Invest in your career development
• Public Service Loan Forgiveness (PSLF) eligible
• Flexible spending account (FSA) plans
• Eligibility and other benefits are outlined in plan documents

Wayfinder Family Services is an Equal Opportunity Employer. We support a drug-free workplace and conduct pre-employment background and drug screenings.