CalAIM Program Manager
San Francisco, CA 
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Posted 17 days ago
Job Description

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.

Institute on Aging is seeking a Manager to join its team to lead the newly created CalAIM program. The primary responsibility is to manage Program Operations for CalAIM San Francisco (CSF), and additional programs as the agency expands care management services in the city and county of San Francisco.

ESSENTIAL JOB FUNCTIONS:

OPERATIONS

  • Direct and monitor the CSF Program to adhere to contract guidelines and acceptable clinical standards of practice.
  • Provide oversight and leadership to the CSF Clinical Supervisors, Care Managers, and Administrative staff.
  • Collaborate with the Division Business Director to manage vendor and community agency partnerships.
  • Monitor program referrals/enrollments, caseload sizes, and ensure timely implementation of care management processes in order to fulfill contract requirements.
  • Ensure CSF Program Policies and Procedures are consistent with IOA Policies and Procedures.
  • Implement collective bargaining agreement changes and ensure program compliance.
  • Work with centralized CalAIM leaders and VP of CLS to maintain accurate and current Program Policies and Procedures in compliance with NCQA guidelines.
  • Clearly define roles and responsibilities of all program staff including identifying areas for professional growth and development.
  • Develop and implement Enhanced Care Management and Community Supports programs in collaboration with San Francisco Health Plan and Kaiser.
  • Work in collaboration with San Francisco providers to identify gaps in community-based services and supports for high-risk, low-income individuals.
  • Ensure CSF documentation and clinical records are in compliance with program policies & procedures, contract guidelines, and meet the expectations of internal and external audits/reviews.
  • Participate in recruiting, onboarding, performance management, terminating of all CSF staff.
  • Participate in relevant Community Based Organization and San Francisco agency services meetings and community workgroups that are relevant to San Francisco care management services.
  • Participate in relevant meetings and workgroups within San Francisco Health Plan and Kaiser to develop a more integrated long-term care community support system.
  • Become an expert in supportive housing options in San Francisco integrating Community Living Services into new and existing housing resources.
  • Participate in local and statewide associations advocating on behalf of improved community based long-term care services.
  • Collaborate with Senior Leadership to identify additional funding opportunities to support the expansion of services in San Francisco.
  • Work with Program Managers, Directors and VP of Community Living Services to develop best practices for community-based managed long-term support and services.
  • Work with Clinical Supervisors to develop short term and long-term programmatic goals and objectives.
  • Develop internal and external budgets, forecasts, and variance analyses.
  • Participate in relevant Institute on Aging meetings and work groups to integrate program operations into the agency.
  • Administratively support operations and work closely with Technology Services to manage all data exchange and integration both internally and externally.
  • Develop improvement plans to ensure all contract deliverables are achieved annually.

QUALITY ASSURANCE

  • Prepare for and facilitate ongoing audit requirements as requested by the City and County of SF and the SFHP.
  • Provide oversight of bi-annual Peer Review, development of plan of improvement, as well as implementation of program improvements.
  • Ensure annual client and provider satisfaction surveys are conducted.

MEDI-CAL WAIVERS

  • Monitor compliance with MediCal Waiver programs and contracts such as CCT, ALW, etc.
  • Monitor enrollments of waiver participants.
  • Conduct regular meetings with Finance Business Partner and Technology Services to ensure maximum contract billing.

BUDGET MANAGEMENT

  • In collaboration with VP and Division Business Manager, review and approve budgets as needed.
  • Develop program budgets and budget modifications for IOA and SFHP/Kaiser
  • In collaboration with IOA Accounting and Finance Business Partner, update Adaptive forecasts on an ongoing basis.
  • All other related duties as assigned.

BACKGROUND & EXPERIENCE:

  • Minimum 3 years supervisory experience in medical or community-based setting.
  • Demonstrated understanding of community-based resources and long term care supports and services.
  • Ability to develop and successfully manage large numbers of professional relationships.
  • Understanding of community-based case management preferred.
  • Experience in building and leading an efficient and effective multi-disciplinary team preferred.

EDUCATION:

Required:Master's degree in administration, public health, social work or a related field (nursing, psychology, counseling, rehabilitation, gerontology, or sociology) from an accredited school. Licensed Clinical Social Worker, Licensed Psychologist, or Registered Nurse preferred.

OTHER DESIRABLE QUALITIES:

  • Demonstrated ability to work collaboratively and to encourage collegial working relationships and team building within agency and with outside partnerships.
  • Excellent verbal and written communication skills.
  • Broad understanding of community-based health and social services and pertinent policy issues.
  • Demonstrated ability to identify and develop new funding streams and partners.
  • Creative thinker.

COMPENSATION:

Range: $ 100.401.00 - 118,119.00/annual

This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors.

This range does not include any additional equity, benefits, or other non-monetary compensation which may be included.

We encourage you to learn more about IOA by logging ontowww.ioaging.org

IOA reserves the right to revise job descriptions or work hours as required.

Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.


We encourage you to learn more about IOA by visiting us here.

IOA reserves the right to adjust work hours or duties when appropriate.

Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Salary and Benefits
$ 100.401.00 - 118,119.00/annual
Required Experience
3+ years
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