Manager, Point of Care - LCSW/LMFT (Telecommute)

Date: Sep 3, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 5697 

 

Position Summary/Position

 

Under the direction of the Clinical Director, POS Care Management, the Manager, Point of Care - LCSW/LMFT oversees the program development and deployment of Point of Service, Regional Integrated Care Team(s), ensuring the highest quality services for IEHP members served by this team. This position works closely with managers and directors across other IEHP departments, including Care Management, Behavioral Health, Practice Transformation, and Compliance to adhere to all State Health Home regulations and guidelines. This position provides clinical oversight and supervision of the integrated services for IEHP members with complex conditions as well as those at risk for complex conditions and engages care team members to ensure collaboration in teams. In addition to the duties related to the IEHP POS Teams, the position represents IEHP leadership with the primary care offices being serviced by the IEHP Point of Service teams and ensures the IEHP teams are effectively engaged with the PCPs. The Manager, Point of Care - LCSW/LMFT facilitates program development, administrative and operational oversight. This position engages the integrated complex care team members, working collaboratively to build and maintain high levels of engagement, as well as excellent member experience in the community as a field-based position. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the POS teams and within other IEHP departments as needed.

Major Functions (Duties and Responsibilities)

 

1. Assist in oversight of Point of Care Integrated Care Teams to ensure fulfillment of role and duties associated with HHP. Clinical supervision and coaching Team Members, including monitoring of performance standards
2. Model importance of member experience and engagement and engage with other leaders at IEHP in developing and implementing member experience improvement activities
3. Engage and collaborate with staff outside POS department, or with those outside Health homes discipline, to provide integrated care to IEHP members
4. Provide clinical trainings and other learning and development activities, within areas of expertise, inside and outside the POS department
5. Monitor, track, trend and analyze POS Regional Model 2 teams’ activities; identify trends and opportunities for improvement; implement corrective plans and monitor for effectiveness. Develops, implements and evaluates program policies and procedures that comply with applicable regulations (CMS, DHCS, DMHC and NCQA) guidelines and standards; reviews and updates as needed
6. Act as liaison on clinical and Integrated Complex Care issues with external IEHP partners to promote and ensure proper execution of IEHP strategic goals
7. Assist Executive Director of Population Health and Clinical Director, POS Integrated Care Management in planning for growth and Integrated Complex Care program development
8. Communicate, formally and informally, nature and importance of Health Home Team(s), to IEHP, as well as, public health education and anti-stigma campaigns, for employees, for members and for IEHP network
9. Work in partnership with IEHP Executive leadership and Clinical Director, POS Integrated Care Management for planning, development, implementation and oversight of population specific and integrated care management programs
10. Assist Clinical Director, POS Integrated Care Management, in collaboration with HCI department, in designing reports and reviewing integrated data to support population health assessment, monitoring and adjusting of interventions
11. Collaboratively develop effective workflows, processes and practices to provide Health Home members with timely, efficient and effective care coordination, case management, linkage to referrals, transitions of care and other necessary services
12. Work with IT, as well as other Health Informatics leaders at IEHP to develop metrics, reports and dashboards that facilitate continuous quality improvement in delivery of Health Home services
13. Professionally and collaboratively work with Utilization Management Department, Member Services, IT, HCI, BH, Finance Department, Claims Department and Care Management Department, to resolve issues and establish workflow processes to ensure delivery of high-quality services
14. Become proficient in all electronic medical management systems (e.g. Cisco, MedHok, CRM, Super Search, Care Director and Web Portal) to assist in training of new staff members
15. Professionally represent IEHP at Health Homes conferences, learning convening’s and other training activities
16. Provide exemplary leadership for all assigned BH Care Managers, RN Care Managers, Community Health Workers and Care Coordinators that ensures team members are given every opportunity to succeed in their positions and are supervised in accordance with POS Department and HR policies
17. Provide clinical supervision and support to Health Homes Teams. Responsible for providing consultation for non-licensed members of team when discussing tasks of a clinical nature
18. Provide clinical supervision and oversight to Point of Service Care Management Behavioral Health Clinicians who are obtaining hours towards clinical licensure with California Board of Behavioral Sciences. Note: this function is currently provided by contracted vendor

Supervisory Responsibilities

Leader: Administers Hires, Terminations, and Performance Reviews

Experience Qualifications

 

Three (3) years of supervision/management experience (requirement may be substituted with significant experience rendering services in behavioral health). Three (3) or more years’ experience working in a managed care setting such as a Medical Group (IPA), Behavioral Health setting, Hospital or Health Plan. Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory. Experience in leading a team is required. Experience collaboratively developing a vision and executing the actions necessary to support it is mandatory. Clinical experience in serving clients with complex and co-morbid conditions is required. Experience providing clinical supervision is required. Experience working in integrated teams or settings is required. 5 years post-master’s clinical experience is required; appropriate experience pre-masters can be substituted.

Education Qualifications

 

Master’s degree from an accredited institution required.

Professional Licenses

 

Registration with Board of Behavioral Services.

 

Possession of an active, unrestricted, and unencumbered Clinical Social Worker (LCSW) license issued by the California Board of Behavioral Sciences OR Marriage and Family Therapist (LMFT) license issued by the California Board of Behavioral Sciences required.

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Deep knowledge in complex care research, programs and practices is important. Knowledge of whole health principles and of integrated principles and practices is important. Knowledge and skills in the area of evidenced based communication, such as motivational interviewing is necessary. Knowledge, skills and understanding about employee engagement, and the willingness to utilize best practices in this area.

Skills Requirement

 

Develop effective relationships with co-workers, direct reports, leadership, and community partners, modeling excellent interpersonal skills and collaboration in working toward position duties and goals.

Collaborate and communicate with Leadership of other Integrated Teams, to ensure coordination of services for members.

Excellent interpersonal skills. Analytical and problem-solving skills. Proficient in the use of computer software to include but not limited to: (e.g. Microsoft Word and Excel, Power Point). 

Abilities Requirement

 

Effectively increase and maintain strong employee engagement with assigned staff, as well as engage with other leaders in development and implementation of employee engagement initiatives.

Desire and ability to develop genuine, effective relationships with members, co-workers, supervisors and community partners. Ability to provide vision, leadership and support to a team. Ability to communicate and work effectively with a variety of providers and maintain positive working relationships with internal and external contacts at all levels.

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

 

Starting Salary: $111,550.40  - $142,230.40  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles