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

University of Minnesota; Saint Paul (MN); Hybrid; USD 86,000 - 93,000; Full time

Job summary

The University of Minnesota's CUHCC seeks an Integrated Care & Community Health Program Manager to lead the IBH-CC team and the Community Health Team, blending direct patient care with operational oversight in a diverse primary care setting.

You will supervise licensed clinicians, care coordinators, and CHWs, drive quality improvement, and foster trauma-informed, culturally grounded care across behavioral health, primary care, and dental services.

Qualifications

• Masters degree plus at least four years of experience.
• Independently licensed mental health provider.
• Board-certified clinical supervisor.
• Masters-level clinical training with trauma-informed, culturally grounded outpatient therapy.
• Experience managing Community Health Worker (CHW) programs and multidisciplinary teams.
• Demonstrated ability to meet clinical productivity and program performance targets.
• Strong leadership with experience in program development, staff supervision, and data-driven decision-making.

Responsibilities

• Provide traditional outpatient therapy services under the Outpatient Therapy program; may provide integrated behavioral health clinical services in primary care and dental settings.
• Deliver trauma-informed, culturally grounded care addressing mental health, behavioral health, and overall well-being.
• Serve as primary clinical responder for crisis situations in the clinic, conducting risk assessments and coordinating interventions.
• Collaborate with primary care providers, dentists, dental hygienists, clinical pharmacists, nutritionists, CHWs, and care coordinators to provide comprehensive, patient-centered care.
• Meet individual clinical productivity and billable targets while maintaining high-quality care.
• Manage the IBH-CC team and internship/practicum program, including hiring, onboarding, training, and performance management.
• Provide clinical supervision to the IBH clinician and oversee high-risk cases.
• Oversee the care coordination team ensuring support for health-related social needs and referrals as needed.
• Monitor team performance, generate reports, and lead quality improvement initiatives.
• Manage CHW team including hiring, onboarding, training, and performance management.
• Oversee CHW team providing community outreach, health education, home visits, and social support.
• Serve as liaison between CHWs, Quality Director, Pharmacy Director and CUHCC service lines.
• Develop and maintain CHW workflows and monitor productivity for grants and priorities.
• Coordinate CUHCC's participation in community outreach and external partnerships.
• Oversee program operations for IBH-CC, CHW, and care coordination teams, ensuring alignment with priorities.
• Facilitate collaboration across primary care, behavioral health, and dental services.
• Lead program evaluation, quality improvement, and reporting for stakeholders.
• Demonstrate advanced communication and systems-based thinking to support teams.

Skills

Leadership skills

Data-driven decisions

Trauma-informed care

Interdisciplinary collaboration

Program development

Supervision

Education

Masters degree

Licensed mental health professional (state license)

Board-certified clinical supervisor

Job description

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 nearly 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 Health Care 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 directly supervises the following staff: 1.0 FTE IBH licensed clinician, 2.0 FTE care coordinators, 2.5 FTE Community Health Workers and clinical trainees in practicum.

Work Environment

This is a hybrid position. Primary work environment is on site at the CUHCC clinic during clinic hours (generally 8am - 5pm, Monday - Friday). This role may come into contact with patients who may have contagious illnesses.

• Telemedicine remote work will be available 1 day a week based on clinical and programmatic needs.
• This position requires a negative TB test, and a Hepatitis B vaccination.

Job Responsibilities

Clinical Responsibilities (60%)

• Provide traditional outpatient therapy services under the Outpatient Therapy program; may provide integrated behavioral health clinical services in primary care and dental settings.
• Deliver trauma-informed, culturally grounded care addressing mental health, behavioral health, and overall well-being.
• Serve as a primary clinical responder for crisis situations in the clinic, conducting risk assessments for patients who are suicidal, homicidal, actively psychotic, or emotionally dysregulated and may pose a risk to themselves, staff, or other patients; collaborate closely with the IBH clinician, mental health supervisors, and other clinical staff to ensure timely and coordinated interventions.
• Collaborate with primary care providers, dentists, dental hygienists, clinical pharmacists, nutritionists, CHWs, and care coordinators to provide comprehensive, patient-centered care.
• Meet individual clinical productivity and billable targets while maintaining high-quality care.

Supervision & Care Coordination Management (15%)

• Manage the IBH-CC team and internship/practicum program, including hiring, onboarding, training, professional development, and performance management.
• Provide clinical supervision to the IBH clinician, who delivers evidence-based, short-term interventions in primary care and dental settings, and conducts risk assessments; offer consultation and oversight on high-risk cases.
• Oversee the care coordination team (bachelor's-level social workers or related qualifications), ensuring effective support for patients' health-related social needs (housing, food, transportation, access to care) as well as medical, behavioral health, and dental needs; care coordinators also facilitate referrals to higher levels of care (e.g., Targeted Case Management, IRTS, Help me grow) as needed.
• Monitor team performance and productivity, generate reports, and lead quality improvement initiatives to strengthen program outcomes.

Community Health Team Oversight (15%)

• Manage the CHW team including hiring, onboarding, training, professional development, and performance management.
• Oversee the CHW team providing community outreach, one-on-one patient support, health education, skill building, home visits, and assistance with social needs.
• Serve as primary liaison between CHWs, Quality Director, Pharmacy Director and CUHCC service lines to integrate CHWs into quality and care initiatives.
• Develop and maintain CHW workflows, monitor productivity, and generate reports to support strategic priorities and grant requirements.
• Collaborate with the Director of Advancement to coordinate CUHCC's participation in community outreach, place-partnerships, and events with external organizations.

Program Leadership & Administration (10%)

• Oversee program operations for IBH-CC, CHW, and care coordination teams, ensuring alignment with organizational priorities, quality standards, and performance metrics.
• Facilitate collaboration across primary care, behavioral health, and dental services to promote whole-person, team-based care.
• Lead program evaluation, quality improvement initiatives, and reporting for internal and external stakeholders.
• Demonstrate advanced communication, interdisciplinary collaboration, and systems-based thinking to support team performance and community engagement.

Please note, this position is not eligible for H‑1B or Green Card sponsorship. This position does not offer a STEM OPT training program.

Qualifications

All required qualifications must be included in the application materials

Required Qualifications

• Masters degree plus at least four years of experience.
• Independently licensed mental health provider (per state statute).
• Board-certified clinical supervisor.
• Masters-level clinical training with experience delivering trauma-informed, culturally grounded outpatient therapy and integrated behavioral health services.
• Experience managing Community Health Worker (CHW) programs, care coordination services, or multidisciplinary teams.
• Demonstrated ability to meet clinical productivity and program performance targets.
• Strong leadership skills with experience in program development, staff supervision, and data-driven decision-making.
• Demonstrated knowledge and application of trauma-informed approaches.
• Experience working with diverse communities and individuals with significant health-related social needs.

Preferred Qualifications

• Experience in a Federally Qualified Health Center (FQHC) or similar primary care-embedded setting.
• Background in community-based programming and outreach.
• Experience collaborating with integrated care teams, including CHWs.
• Knowledge of and experience with CHW principles and best practices.
• Knowledge of integrated behavioral health and care coordination models.
• Familiarity with Health Care Home or other integrated, team-based care models.
• Experience with health promotion programming, community outreach, and grant reporting.
• Demonstrated ability to incorporate cultural understanding into interventions tailored for diverse populations.

Core Competencies

• Leadership and team management
• Clinical supervision and excellence
• Trauma-informed, culturally responsive care
• Program development and evaluation
• Integrated care and community health collaboration
• SDOH-informed care and patient advocacy
• Systems-based thinking and interdisciplinary communication

About the Department

At CUHCC, we're transforming urban health care and educating the next generation of healthcare professionals.

CUHCC offers a full range of dental and mental health services that are typically not offered at a community health center, such as prosthodontic services and psychiatry. CUHCC has pharmacists, psychiatric nurse practitioners, dentists, dental hygienists, nurses, family nurse practitioners, family practice physicians, internal medicine physicians, internal medicine‑pediatric physicians, licensed social workers and psychologists among other disciplines on staff.

CUHCC's interprofessional care model uses a collaborative, team-based approach to deliver education and patient care, integrating these services. Students and residents at CUHCC have the opportunity to work with other students and preceptors in other fields to best serve the complex needs of the patients. Over half of CUHCC's mental health patients also receive medical services at CUHCC, allowing CUHCC providers to work collaboratively to provide patient centered care.

As a founding member in the country's first accountable care organization (ACO) for federally qualified health centers, CUHCC is leading change in urban health and improving patient outcomes to meet the Institute for Healthcare Improvement's Triple Aim: improve the patient experience, improve patient health, and reduce the cost of patient care.

Pay and Benefits

Pay Range: Between $86,000 - $93,000/annually for 1.0 FTE, depending on qualifications. Salary range is based on experience and overall mastery/job proficiency level of position.

Time Appointment: 100% Appointment

Position Type: Faculty and P&A Staff

Please visit the Office of Human Resources website for more information regarding benefit eligibility.

The University offers a comprehensive benefits package that includes:

• Competitive wages, paid holidays, and generous time off
• Continuous learning opportunities through professional training and degree-seeking programs supported by the Regents Tuition Benefit Program
• Low-cost medical, dental, and pharmacy plans
• Healthcare and dependent care flexible spending accounts
• University HSA contributions
• Disability and employer-paid life insurance
• Employee wellbeing program
• Excellent retirement plans with employer contribution
• Public Service Loan Forgiveness (PSLF) opportunity
• Financial counseling services
• Employee Assistance Program with eight sessions of counseling at no cost
• Employee Transit Pass with free or reduced rates in the Twin Cities metro area

While our salary ranges provide a framework, it is important to note that most of the time, the initial pay may not reach the maximum of the range. This approach ensures that compensation reflects the value and unique contributions of each candidate while maintaining equity within our organization. As part of our commitment to fair and equitable compensation, please be aware that the salary offered to incoming candidates will be based on their individual credentials and experience.

Diversity

The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds.

The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity or gender expression. To learn more about diversity at the U: http://diversity.umn.edu

Employment Requirements

Any offer of employment is contingent upon the successful completion of a background check. Our presumption is that prospective employees are eligible to work here. Criminal convictions do not automatically disqualify finalists from employment.

About University of Minnesota

The University of Minnesota, Twin Cities (UMTC)

The University of Minnesota, Twin Cities (UMTC), is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation's most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations.

At the University of Minnesota, we are proud to be recognized by Forbes as a Best Employer for Company Culture (2026), Best Employer for Women (2023), and Best Employer by State (2022-2026). In 2026, we also received Culture Excellence & Industry Awards recognition for employee appreciation and work-life flexibility.