Clinical Director, Care Management

Job Details

Level

Management

Job Location

Santa Monica - Santa Monica, CA

Position Type

Full-Time

Education Level

Graduate Degree

Salary Range

95,000.00 - $115,000.00 Salary

Job Shift

Job Category

Nonprofit - Social Services

Description

For more than 50 years, Wise & Healthy Aging has been serving older adults at all stages of their lives. Offering a wide range of services for older adults from pre-retirement through elder years, we also offer services for caregivers and their families and work closely with other senior services and community organizations who share our passion and commitment to making a difference in the lives of older adults. Wise & Healthy Aging has received numerous designations of excellence from Guide Star, GREATNONPROFITS, and is nationally certified as a Great Place to Work.

We offer competitive salaries and benefits. For staff who regularly work 30 or more hours per week, benefits include 80% company-paid medical, 100% company-paid dental, 401(k) plan with employer match, Flexible Spending Account (FSA), optional life and vision insurance, 14 paid holidays plus paid time off (PTO).

POSITION SUMMARY (Licensure required)

The Director of Care Management is responsible for managing program services daily, supervising staff and interns, ensuring high-quality client service delivery, compliance with program grants and contracts, record-keeping of fiscal and client data, and backup for preparing and submitting invoices. In partnership with the Vice President, the Director will identify, implement, and evaluate program goals and objectives by designing plans and operations according to each program's contract and budget guidelines. This includes clinical oversight of the Enhanced Care Management (ECM) program.

PRIMARY RESPONSIBILITIES

• Ensure clinical oversight and high-quality client service delivery.
• Enhance and maintain a sustainable ECM program. Prepare and oversee all necessary ECM components, including client's files, documents, protocols and procedures, measured deliverables, billing, and quarterly reports.
• Demonstrate strong clinical and diagnostic skills with mastery in bio-psycho-social assessments, care plans, and care coordination (e.g., needs related to dental, medical, and mental health, substance abuse, ADL, IADL, housing / living situation).
• Possess the ability to train and modify assessment protocols in accordance with best practices and health plan regulations.
• Review client case files for quality, timeliness, and accuracy; ensure all documentation (such as the required assessments, forms, care plan, progress notes, closing letters, etc.) is complete and signed; ensure the required internal and external program-specific and client-based portal systems match hard copy client files and files are maintained with current clinical standards.
• Serve as backup to monitor and ensure staff service recordings, including accurate billing, are entered promptly into designated software systems across all required programs.
• Oversee and monitor program compliance to Wise & Healthy Aging policies and procedures; maintain proper documentation of all program services delivered to participants.
• Serve as the initial point of contact for referrals from various entities, such as the City, County, and partnering healthcare organizations.
• Screen potential Care Management and Peer Counseling clients. Oversee and assign clients / intakes to Care Coordinators, interns, and volunteers.
• Evaluate that clients are being referred to the appropriate service modalities where they will receive various levels of case management (clinical and non-clinical) and access to essential benefits.
• Provide one-on-one clinical supervision of Care Coordinators, interns, and volunteers as needed.
• Facilitate biweekly staff meetings to review cases and coordinate training with staff, interns, and volunteers.
• Provide direct client service when there are challenging situations that require the support of a supervisor.
• Provide timely performance feedback formally (introductory reviews and annual performance evaluations) and informally to direct reports.
• Assist in biannual and quarterly Care Management reporting.
• Support the VP in coordinating and supporting the completion and submission of requests for proposals to maintain current contracts and to expand services as appropriate.
• Serve as backup support, as needed, for the Vice President, Care Management

OTHER RESPONSIBILITIES

POSITION QUALIFICATIONS

Education

Experience

OTHER REQUIREMENTS

PHYSICAL REQUIREMENTS

This position is in Santa Monica, California's Wise & Healthy Aging corporate office.

Salary : $95,000 - $115,000