Overview
Salary $70K-$75K
The Clinical Care Manager is assigned to Enrollees. The CCM provides direct CP supports and activities to Assigned and Engaged Enrollees and supervises a team of Care Coordinators within the assigned BHPMW Central Teams or BHCP consortium entity (CE).
Minimum Education Required
Master's Degree
Responsibilities
Support consortium entity teams by providing supervision, conducting audits, and actively participating as a member of their team to ensure high-quality care coordination and compliance with best practices
Motivate and lead a high performance team; provide supervision, mentoring and professional development opportunities.
Collaborate with team members to implement measures that decrease episodic care and meet quality outcomes.
Provide CP supports to Enrollees and supervise Care Coordinators in doing the same. Coordinates either directly or through the supervision of Care Coordinators, all aspects of CP service delivery with team members.
Utilize effective, dignified, empowering and creative engagement strategies to ensure Enrollees are at the center and lead in their BHCP services and supervise Care Coordinators in providing CP supports in this manner.
Conduct outreach and engagement activities with Assigned Enrollees and engage them in enrolling in the BHCP program and supervise Care Coordinators in providing this CP support.
Supervise Care Coordinators in completing comprehensive assessment in a collaborative manner with Engaged Enrollees, with input from Care Team members and other stakeholders as well as conducting annual re-assessments. Review and sign off on all assessments completed by Care Coordinators. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated.
Supervise Care Coordinators in developing a person-centered treatment plan with each Engaged Enrollee, with input from Care Team members and other stakeholders as well as updating the treatment plan according to required timeframes. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators as indicated.
Supervise Care Coordinators in developing advanced directives, acute care plans, and/or crisis plans with Engaged Enrollees as needed. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators as indicated.
Supervise Care Coordinators in working with Engaged Enrollees to assemble Care Teams and facilitate all communication and coordination with the team. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinator as indicated..
Supervise Care Coordinators in supporting Engaged Enrollees during care transitions including attendance at discharge planning meetings, face to face meetings post discharge, ensuring linkages with all needed services and supports, and facilitating Enrollee participation in those services. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated.
Meet expectations related to supervising the programmatically required number of Care Coordinators and supporting the programmatically required number of Enrollees which may vary over time.
Supervise Care Coordinators in providing health and wellness coaching to Engaged Enrollees and assist them in identifying and utilizing health and wellness supports in the community. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated.
Supervise Care Coordinators in connecting Engaged Enrollees to all needed services and supports including those that address social needs that affect health and facilitating ongoing connection. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated.
Supervise Care Coordinators in collaborating with existing providers, Care Team members, state agency staff, and all other stakeholders and delivers CP supports and activities in accordance with Enrollee’s person centered treatment plan. Be involved directly with Enrollees in providing this CP support activity, in collaboration with their assigned Care Coordinators, as indicated
Participate in BHCP team meetings and each Engaged Enrollee’s Care Team with the assigned Care Coordinator when needed to ensure effect