Clinical Care Manager

Summary: 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 BHCP consortium entity (CE) or Affiliated Partner (AP).

Why Work for SMOC?

• Paid Time Off: All full-time employees can accrue up to 3 weeks of vacation, and 2 weeks of sick time and are eligible for 12 paid holidays during their first year of employment.
• Employer-paid Life Insurance & AD&D and Long-Term Disability for full-time employees.
• Comprehensive Benefits Package including Medical Plans through Mass General Brigham with an HRA Employer cost-sharing program, Dental Plans with Orthodontic Coverage, and EyeMed Vision Insurance available to full-time employees.
• 403(B) Retirement Plan with a company match starting on day one for all full-time and part-time employees.
• Additional voluntary benefits including; Term and Whole Life Insurance, Accident Insurance, Critical Illness, Hospital indemnity, and Short-Term Disability.
• Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more.

Primary Responsibilities:

• With the BHCP Program Manager hire, train and supervise BHCP Care Coordinators.
• 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.
• Serve as the Clinical Care Manager for assigned Enrollees. Provide CP supports to Enrollees and supervise Care Coordinators in doing 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 effective communication among all disciplines and stakeholders involved in the person’s care.
• Identify community resources and develop natural supports for Enrollees and supervise Care Coordinators in performing these functions.
• Participate in all required orientation and training. Train Care Coordinators and other CP Team members.
• Learn all BHCP policies, procedures, protocols and plans and deliver CP supports and activities in compliance with them. Ensure all CP Team members are trained and comply with these protocols.
• Develop knowledge about all focus populations and assist CP Team members in doing so.
• Learn evidence-based practices identified by the BHC, and deliver CP supports and activities in compliance with them, and ensure all CP Team members are trained and supported in implementing them.
• Complete all required documentation in a timely manner.
• Attend and actively participate in supervision and staff meetings.
• Consults with RNs and other CP Team members as needed around clinical, medical and other matters.
• Provide on-call coverage, as needed.
• Ensure that all clients are treated with dignity and respect in accordance with BHPMW’s Human Rights policy.
• Perform all duties in accordance with the agency’s policies and procedures.
• Strictly follow all agency Performance Standards.

Please note: The essential functions listed in this section are not limited only to the tasks listed and may include other duties as assigned.

Knowledge and Skill Requirements:

• Master’s degree with first level license (LICSW, LMFT, LMHC, licensed psychologies, or LADAC I) with minimum of 2 years of experience working in a community-based mental health, substance use and/or physical health setting.
• Minimum of 2 years’ supervisory experience, preferred.
• Demonstrated knowledge base and judgment necessary for independent clinical decision making.
• Minimum of 3 years professional and clinical experience in the areas of mental health, counseling, and substance use.
• Strong skills in the areas of communication, follow through, collaboration, and customer service.
• Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.
• Excellent interpersonal skills and demonstrated ability to interact professionally with culturally and educationally diverse staff and patients.
• Creativity, flexibility, sound judgment, and the ability to take initiative.
• Excellent time management and organizational skills.
• Strong Computer skills, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies.
• Strong communication and writing skills.
• Demonstrated ability to work as an effective team member and leader in a complex and fast-paced environment.
• Knowledge regarding psychiatric rehab and understanding of recovery model.
• Must be able to perform each essential duty satisfactorily.
• Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport members.
• Must be willing to spend 50% of time traveling and meeting with members in their homes or in their communities.
• Ability to read and speak English.

Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Organizational Relationship: Directly reports to Program Director. Direct reports of this position are None

Working Conditions: This facility is a non-smoking environment. As part of the responsibilities of this position, the Clinical Care Manager will have direct or incidental contact with clients served by SMOC in various programs funded or administered through the Executive Office of Health and Human Services. A successful background check is required.