Community Health Programs and Integrated Care Manager (LICSW, LPCC, LMFT)

University of Minnesota; Minneapolis (MN); Hybrid; USD 90,000 - 120,000; Full time

Job summary

CUHCC seeks an Integrated Care & Community Health Program Manager to lead the IBH-CC team and the Community Health Team, combining direct patient care with operations and supervision in a diverse primary care clinic.

You will collaborate with primary care providers, CHWs, care coordinators, dentists, and behavioral health staff to deliver trauma-informed, culturally grounded services and drive team-based care within the HealthCare Home model.

Responsibilities

• Provide traditional outpatient therapy services under theOutpatient Therapy program; may provide integrated behavioralhealth clinical services in primary care and dental settings.
• Deliver trauma-informed, culturally grounded care addressingmental health, behavioral health, and overall well-being.
• Serve as a primary clinical responder for crisis situations inthe clinic, conducting risk assessments for patients who aresuicidal, homicidal, actively psychotic, or emotionallydysregulated and may pose a risk to themselves, staff, or otherpatients; collaborate closely with the IBH clinician, mental healthsupervisors, and other clinical staff to ensure timely and coordinated interventions.
• Collaborate with primary care providers, dentists, dentalhygienists, clinical pharmacists, nutritionists, CHWs, and carecoordinators to provide comprehensive, patient-centered care.

Job description

About the Job

Objective/Overview

In pursuit of its mission, Transforming care and education to advance the health of our patients and the communities we serve, CUHCC provides medical, dental, and behavioral health care to tonearly 12,000 racially and culturally diverse patients annually. The vast majority of patients live below federal poverty lines and more than half require language interpretation services. The clinic integrates primary care, behavioral health, and dental services. Our behavioral health department encompasses outpatient psychiatry and therapy, Substance Use Disorder services, and IBH Care Coordination embedded in primary care. Community programs, including ARMHS and Targeted Case Management, further support whole-person care. A key aspect of this role is to facilitate collaboration across these service lines and programs, promoting team-based care as CUHCC continues to fully implement the HealthCare Home model. The Integrated Care & Community Health Program Manager provides dual clinical and programmatic leadership for CUHCC’s Integrated Behavioral Health-Care Coordination (IBH-CC) team and the Community Health Team, composed of community health workers (CHWs). This role combines direct patient care with operational oversight and clinical supervision. The Program Manager ensures high-quality, trauma-informed, culturally grounded behavioral health and community health services within a highly diverse primary care clinic.

Reporting Relationships

This position reports to the Mental Health Director and directlysupervises the following staff: 1.0 FTE IBH licensed clinician, 2.0FTE care coordinators, 2.5 FTE Community Health Workers andclinical trainees in practicum.

Work Environment

• This is a hybrid position. Primary work environment is on siteat the CUHCC clinic during clinic hours (generally 8am - 5pm,Monday - Friday). This role may come into contact with patients whomay have contagious illnesses.
• Telemedicine remote work will be available 1 day a week basedon clinical and programmatic needs.
• This position requires a negative TB test, and a Hepatitis Bvaccination.

Job Responsibilities

Clinical Responsibilities (60%)

• Provide traditional outpatient therapy services under theOutpatient Therapy program; may provide integrated behavioralhealth clinical services in primary care and dental settings.
• Deliver trauma-informed, culturally grounded care addressingmental health, behavioral health, and overall well-being.
• Serve as a primary clinical responder for crisis situations inthe clinic, conducting risk assessments for patients who aresuicidal, homicidal, actively psychotic, or emotionallydysregulated and may pose a risk to themselves, staff, or otherpatients; collaborate closely with the IBH clinician, mental healthsupervisors, and other clinical staff to ensure timely and coordinated interventions.
• Collaborate with primary care providers, dentists, dentalhygienists, clinical pharmacists, nutritionists, CHWs, and carecoordinators to provide comprehensive, patient-centered care.