Case Manager, Enhanced Care Management (ECM)

HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment.

Benefits and perks:
• HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more!
• Employees qualify for public loan forgiveness programs
• Training and professional development opportunities
• Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.


This is a union eligible position.

The Integrated Care Center Clinic is a federally qualified health center that provides primary care, behavioral health, addiction treatment, psychiatry, dental care, and more. We provide care to those most in need including those who are suffering from homelessness, mental illness, substance use, mental illness, and chronic medical conditions. We provide team-based care in an integrated care setting. We are looking for a mission driven service leader who works well in a team, has experience with managing and supporting staff, champions quality improvement, leads change, and is excited to innovate. The Enhanced Case Management program under the Integrated Care Center will provide intensive, client-centered case management to support clients in achieving stability, health, and self-sufficiency.

The Case Manager- ECM, under the Enhanced Care Management (ECM) program, is responsible for maintaining a caseload of members enrolled in a Managed Care Plan (MCP). This role focuses on delivering community-based case management services, linking clients to appropriate resources to address needs such as health benefits, physical and behavioral health care, substance use treatment, housing, employment, justice-involved issues, family services, and other social supports. In partnership with the San Francisco Health Plan and HealthRIGHT 360’s Integrated Care Clinic (ICC)—a brick-and-mortar primary care site located at 1563 Mission Street in San Francisco—the Case Manager I provides coordinated care to a diverse patient population. This includes collaboration with clinical and community providers to ensure comprehensive service delivery.

This is a field-based position requiring proactive outreach and engagement with members in the community, including visits to clients' homes, service provider sites, and other locations across San Francisco.

KEY RESPONSIBILITIES
Client Care and Care Coordination Responsibilities:
• The Care Manager will be responsible for organizing patient care activities, sharing information with those involved as part of the multi-disciplinary care team, and implementing activities identified in the Managed Care Plan.
• Identifying eligible people from within State Prisons, County Jails, hospitals, and other locations for enrollment into the MCP.
• Using multiple strategies for engagement, including direct communication with the member (and/or their advocates), such as in-person meetings where the member lives, seeking care or is accessible; mail, email, texts, and telephone; community and street-level outreach.
• Maintaining regular contact with all providers identified as part of the members’ care team, whose input is necessary for successful implementation of member goals and needs, including Justice Involved oversight.
• Ensuring care is continuous and integrated among all service providers and referring to and following up with primary care, physical and developmental health, mental health, SUD treatment, and necessary community-based and social services, including housing, as needed.
• Providing support to engage the member in their treatment, including coordination for medication review and/or reconciliation, scheduling appointments, providing appointment reminders, coordinating transportation, accompaniment to critical appointments, and identifying and helping to address other barriers to member engagement in treatment.
• Responsible for engaging with a multi- disciplinary care team to identify gaps in the member’s care and ensure appropriate input is obtained to effectively coordinate all primary, behavioral, developmental, oral health, Community Supports.
• Assist the client with intake by completing assessments as required by the MCP.
• Monitors client's progress toward achieving Care management treatment plan goals and provides treatment plan input.
• Assess the client’s Care Manager needs and completes all Releases of information.
• Connects the client to benefits, healthcare services, employment, housing, community resources, outpatient substance use services, and other benefits/resources available to the client.
• Coordinates communication and external service linkage including assisting with s