Supervisor Care Management, Street Medicine

At Healthcare in Action, we serve patients experiencing homelessness through an innovative “street medicine” approach by contracting with Medicare and Medicaid health plans as well as hospitals and health systems. Street medicine entails using a medically equipped van to deliver medical care directly to people experiencing homelessness in locations such as parking lots, encampments, and parks. The Supervisor, Care Management will enhance patients experiencing homelessness’s ability to manage their health and live independently by conducting care management activities, including assessment, planning and implementing interventions that support success, with an emphasis on housing navigation. Supervises and leads non-clinical Healthcare in Action team responsible for coordinating patient care accordingly. This position is a full-time, field-based and will work in the San Bernardino, CA area. Responsibilities include: Develop individualized care plan utilizing evidence-based guidelines and clinical knowledge for clients by evaluating and conducting onsite visits, gathering assessment information, and identifying problems, goals and interventions. Deliver ongoing care coordination/care management by coaching, educating, navigating and referring to appropriate care and community-based resources. Assist patients in taking an active role in managing health and social needs by coaching, using motivational interviewing, and educating about self-management tools and strategies. Coach and support Care Management team to do the same. Develop cross-functional relationships with housing and allied community agencies by attending appropriate meetings, working on-site, and structuring effective communication mechanisms. Leads Care Management team efforts to coordinate with patients' various care team to identify barriers to care plan by sharing assessment information. Complete timely and accurate documentation in multiple computer systems to record assessment and corresponding documentation, including care plans and progress notes. Exhibit strong interpersonal, critical thinking and analytical skills through positive communication with clients, caregivers, care teams, and community agencies. Demonstrate excellent organizational, decision-making and multi-tasking skills as demonstrated by problem solving and successful outcomes. Enhance skills and knowledge by participating in team case conferences and training, per department guidelines. Utilize department desktop procedures, workflows, job aids and training materials. Identify barriers to work processes and brings to the attention of the supervisor/manager. Maintain the client ‘s right to privacy and protect HIA operations by keeping information confidential and ensures Case Management does the same. Adhere to all quality, compliance and regulatory standards to achieve outcomes. Maintain professional and technical knowledge by attending educational workshops; reviewing and contributing to professional publications; establishing personal networks; and participating in professional societies. Ensures team is driving efforts by accomplishing results according to role scope. Supervise/Manage 2+ team members (i.e., hires, performance reviews, corrective action, etc.) Other duties as assigned. Qualifications and experience: Bachelor’s Degree in Social Work, Gerontology or related field of study, required. Master’s Degree in Social Work, Gerontology or related field of study, preferred. LCSW preferred 3+ years people leadership with some direct supervision experience 3-4 years of experience in homeless care management field with a bachelor’s degree, or 2+ years of experience with a master’s degree. Experience with CalAim strongly preferred. Work with street outreach is a plus. Healthcare experience a plus Bilingual in English/Spanish preferred. Work is primarily in the field, must be willing to travel in Los Angeles and Orange County. Bi-monthly office visits to Long Beach. Demonstrated knowledge of assessment, health and functional problems of homeless older adults. Knowledge of community resources for seniors. Basic knowledge of related CMS and DHCS regulations. Strong interpersonal skills, including excellent written and verbal communication skills. Strong organizational skills: Ability to multitask. Ability to appropriately maintain confidentiality. Strong analytical and critical thinking skills, required. Requires proof of Valid Driver’s License Must maintain minimum State Liability Insurance Must have access to a vehicle. Tuberculosis Screening Policy To ensure the health and safety of our members, if you are selected for this position, your job offer with Homebase Medical will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, Homebase will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available. What's in it for you? Base salary range: $64,000 to $102,400 per year An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) 11 paid holidays per year, plus 1 additional floating holiday Excellent 401(k) Retirement Saving Plan with employer match. Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day. At Healthcare in Action, we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. Healthcare in Action is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. At Healthcare in Action, we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. Healthcare in Action is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. Healthcare in Action was established in 2021 as a 501 (c)3 organization and associated medical group. Utilizing mobile clinics staffed by healthcare professionals, community health workers, and social workers, our teams travel directly to unhoused individuals living in communities across the geographies we serve, providing services where they reside – including tents, cars, shelters, and temporary housing. In meeting patients where they are and supporting their goals, HIA team members build trust – a critical component that can lead to meaningful and positive changes in health and housing. Our mission is to improve the lives of people experiencing homelessness through quality holistic care. It is our vision that all people experiencing homelessness have access to quality healthcare that addresses their mental, social and physical health needs. HIA was established in 2021 as a 501 (c)3 organization and associated medical group. Utilizing mobile clinics staffed by healthcare professionals, community health workers, and social workers, our teams travel directly to unhoused individuals living in communities across California, providing services where they reside – including tents, cars, shelters and temporary housing. In meeting patients where they are and supporting their goals, HIA team members build trust – a critical component that can lead to meaningful and positive changes in health and housing. HIA has been serving Medicaid Managed Care members as a medical services provider, as well as Enhanced Care Management and Community Support Services to patients in unsheltered and sheltered environments. Our staff provide services that reflect the needs of the homeless population, including mental healthcare, substance use disorder treatment, chronic disease care, insurance and other program enrollment and support for obtaining food and housing. The overarching goals of HIA are to improve the health of unhoused populations as well as helping them obtain sustainable housing. Our mission is to improve the lives of people experiencing homelessness through quality holistic care. It is our vision that all people experiencing homelessness have access to quality healthcare that addresses their mental, social and physical health needs. Healthcare in Action is proud member organization of SCAN Group.