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Vista Community Clinic

Provides primary care and health services.

Program Supervisor ECM

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeVista, CA, USA$27 - $29In-person

About the Job

Requirements

  • A bachelor's degree in social work, psychology, counseling, behavioral science, or another related field.
  • Two years of experience in a healthcare setting, preferably providing direct patient care or performing duties involving patient education and advocacy.
  • Bilingual fluency in English and Spanish.
  • A valid California driver's license and vehicle insurance, along with reliable transportation.
  • At least one year of lead or supervisory experience.
  • Strong interpersonal relationship, leadership, and communication skills.
  • Ability and willingness to work flexible hours, including evenings and weekends.
  • Verbal and written skills sufficient to communicate with patients, clients, clinicians, and other staff.
  • Customer service skills and commitment to providing a high level of customer satisfaction.
  • Visual acuity and hearing ability sufficient to drive safely.

Responsibilities

  • Provide direct oversight to the Enhanced Care Management program for select managed care plans and care managers, including program development, implementation, supervision, and training.
  • Work as part of patients’ multidisciplinary care teams and interact directly with assigned health plan members and their families, authorized representatives, caretakers, or other authorized support people to coordinate Enhanced Care Management and Community Supports.
  • Coordinate with the Enhanced Care Management Clinical Nursing Specialist and other program staff to obtain appropriate input for coordinating primary, behavioral, developmental, and oral health care, long-term services and supports, Community Supports, and services addressing social determinants of health.
  • Supervise assigned program staff and complete associated paperwork, including evaluations.
  • Track and review daily billing and coding reports to ensure monthly service expectations are met.
  • Coach direct reports to address performance improvement.
  • Monitor, assign, and track internal and external program referrals.
  • Oversee internal program reporting and identify and address deficiencies in performance and quality of care.
  • Participate in developing workflows and assist the grant-writing team as needed.
  • Attend and facilitate internal staff and department meetings and external partner or collaboration meetings as required.
  • Identify and foster partnerships with community-based organizations for program referrals.
  • Assist the Program Manager in identifying outreach and enrollment strategies.
  • Maintain knowledge of health plan platforms and documentation.
  • Participate in health plan audits and support the development and implementation of corrective action plans.
  • Assist in training Care Managers on workflows and templates.
  • Maintain a partial caseload of enrolled patients across San Diego health plans based on program need.
  • Conduct outreach, enrollment, and care management for populations of focus selected by assigned health plans.
  • Develop individualized comprehensive care-management plans integrating clinical and non-clinical needs to achieve health goals, improve functional status or health status, or prevent decline.
  • Coach patients and caregivers using evidence-based motivational interviewing techniques and trauma-informed care language to address critical issues, help patients develop achievable self-management goals, and present new skills step by step.
  • Serve as a point of contact for patients and families involved in the patient’s care team through agreed-upon communication methods.
  • Support patients in developing healthcare goals by conducting assessments of physical, mental, social, and Community Supports needs.
  • Visit patients at home, where they seek care, or where they prefer to access community services, and conduct interviews about health-condition knowledge and motivation to engage in self-management.
  • Identify and initiate referrals to social service programs, including financial, community, and state supportive services addressing housing instability and other social determinants of health.
  • Work with the Enhanced Care Management Clinical Nursing Specialist to monitor medication adherence, management, and reconciliation, especially during care transitions.
  • Perform population-management tasks such as appointment scheduling, prevention and screening recalls, referral monitoring, patient portal callbacks, and responding to telephone messages.
  • Document patient conversations accurately and concisely and submit appropriate billing and coding.
  • Provide services in a culturally appropriate and sensitive manner, respecting people and the strengths of their backgrounds, life experiences, and motivations.
  • Manage caseloads according to mandated program requirements and meet timelines for care planning, follow-up activities, documentation, and submissions.
  • Serve as a liaison among health plans, the program, and the community.
  • Participate in health plan audits related to Enhanced Care Management.

Desired Qualifications

  • A master's degree in Social Work or another related field.
  • Experience working with patients with serious mental illness and/or substance use disorder.

About the Company

Vista Community Clinic

Provides primary care and health services.

Vista Community Clinic provides affordable, high-quality health care to more than 55,000 residents in North San Diego County and Lake Elsinore, offering primary care, pediatrics, prenatal and women’s health, optometry, dental care, chiropractic services, behavioral health, health education programs, and free health insurance enrollment services. Care is delivered through a network of primary care teams that coordinate across specialties, with preventive and chronic services available by appointment, plus education programs and help enrolling in insurance to expand coverage. It differentiates itself with NCQA Level 3 Patient-Centered Medical Home recognition, a broad suite of services under one roof, and free enrollment assistance for underserved communities across two counties. The goal is to improve community health by providing comprehensive, accessible, and affordable care along with education and enrollment support to expand insurance coverage.

Company size
501-1,000
Company stage
Grant
Total funding
$3.1M
Headquarters
United States
Founded
1972

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