Job Details

Care Coordination Program Manager

  2025-07-01     Santa Rosa Community Health     Santa Rosa,CA  
Description:

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Description


POSITION TITLE: Care Coordination Program Manager


REPORTS TO (TITLE): Associate Director of Special Population Programs


SALARY: $85,000 - $105,000 DOE


Job Summary


The Care Coordination Program Manager is responsible for successfully implementing SRCHs organization-wide Care Coordination services. This position oversees the planning, implementation, and management of the Enhanced Care Management (ECM) program, a Medi-Cal benefit, and Community Health Worker (CHW) services. Ensuring person-centered, evidence-based, and interdisciplinary care for individuals with complex health and social needs. This role emphasizes integrating the Collaborative Care Model principles, including systematic team-based care, population-based management, measurement-based treatment, and accountability, to improve health outcomes for diverse populations while working collaboratively with community partners to meet the needs of the patient population.


Specific Tasks/Duties Include



  • Participates in the development and delivery of enabling services to improve the quality of the health outcomes for patients with complex medical and psycho-social needs.

  • Manages care coordination program services, and documentation requirements.

  • Builds and maintains robust partnerships with healthcare providers, hospitals, community organizations, and other stakeholders to enhance access to integrated services.

  • Represents Santa Rosa Community Health with respect to care coordination services in community meetings or forums as agreed to.

  • Develops and maintains working relationships with community partners.

  • Collaborates with medical, mental health, substance use, and clinical care teams across SRCHs campuses.

  • Works with department Director to develop and enforce written departmental policies and procedures consistent with agency guidelines.

  • Tracks and reports grant required information when needed in conjunction with Quality, Grant, and Data Analyst teams.

  • Participates in quality improvement and assurance activities within the Care Coordination Department.

  • Directly supervises and develops Care Coordination and Community Health Worker supervising staff.

  • Must be familiar with the Collective Bargaining Agreement in the supervision of union-represented staff.

  • Responsible for timely, accurate submission of timekeeping processes to payroll.

  • Provides leadership for the department including program planning, budgeting, and development, as well as recruiting, training, supervising, and supporting care team members, including care coordinators, community health workers, social workers, behavioral health specialists, and other relevant staff.

  • Provides ongoing education on the principles of collaborative care, ensuring the team understands its role in systematic, population-based approaches.

  • Oversees the referral process and coordinates the distribution of clients to appropriate Care Coordination programs.

  • Ensures that care plans are person-centered, address clients' medical, behavioral, and social needs, and are aligned with ECM program goals.

  • Facilitates regular case reviews with an interdisciplinary team to support comprehensive and coordinated care.

  • Responsible for accurate and complete documentation and timely reporting to funders or as needed for compliance.

  • Other duties as assigned.


Qualifications


Minimum Requirements



  • Bachelors degree in healthcare administration, social work, public health, or a related field required; Masters degree preferred.

  • Active California LCSW preferred.

  • Minimum 3 years in case management, care coordination in a medical setting, or home health/hospice.

  • Minimum two years program administration/leadership experience.

  • Minimum two years supervisory experience.

  • Experience working with vulnerable populations, including individuals experiencing homelessness, mental illness, or substance use disorders, is strongly preferred.


Knowledge and Skills



  • Spanish language skills preferred.

  • Ability to listen and understand clinical issues sufficiently to direct non-clinical case transition staff.

  • Knowledge of local community and available resources, including medical system.

  • Effective communication skills with patients, coworkers, and the public.

  • Basic understanding of medical billing process and cash management.

  • Advanced computer skills, including Microsoft Office; electronic medical records experience preferred.


Additional Information


SRCH is an equal opportunity employer. We provide reasonable accommodation for individuals with disabilities to apply and perform their essential job functions unless it causes undue hardship.


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