Integrated Care & Community Health Program Manager

About the Job

Objective/Overview

In pursuit of its mission, Transforming care and education to advance the health of our patients and the communities we serve, CUHCC provides medical, dental, and behavioral health care to nearly 12,000 racially and culturally diverse patients annually. The vast majority of patients live below federal poverty lines and more than half require language interpretation services.

The clinic integrates primary care, behavioral health, and dental services. Our behavioral health department encompasses outpatient psychiatry and therapy, Substance Use Disorder services, and IBH-Care Coordination embedded in primary care. Community programs, including ARMHS and Targeted Case Management, further support whole-person care. A key aspect of this role is to facilitate collaboration across these service lines and programs, promoting team-based care as CUHCC continues to fully implement the Health Care Home model.

The Integrated Care & Community Health Program Manager provides dual clinical and programmatic leadership for CUHCC's Integrated Behavioral Health-Care Coordination (IBH-CC) team and the Community Health Team, composed of community health workers (CHWs). This role combines direct patient care with operational oversight and clinical supervision. The Program Manager ensures high-quality, trauma-informed, culturally grounded behavioral health and community health services within a highly diverse primary care clinic.

Reporting Relationships

This position reports to the Mental Health Director and directly supervises the following staff: 1.0 FTE IBH licensed clinician, 2.0 FTE care coordinators, 2.5 FTE Community Health Workers and clinical trainees in practicum.

Work Environment

* This is a hybrid position. Primary work environment is on site at the CUHCC clinic during clinic hours (generally 8am - 5pm, Monday - Friday). This role may come into contact with patients who may have contagious illnesses.

* Telemedicine remote work will be available 1 day a week based on clinical and programmatic needs.

* This position requires a negative TB test, and a Hepatitis B vaccination.

Job Responsibilities

Clinical Responsibilities (60%)

* Provide traditional outpatient therapy services under the Outpatient Therapy program; may provide integrated behavioral health clinical services in primary care and dental settings.

* Deliver trauma-informed, culturally grounded care addressing mental health, behavioral health, and overall well-being.

* Serve as a primary clinical responder for crisis situations in the clinic, conducting risk assessments for patients who are suicidal, homicidal, actively psychotic, or emotionally dysregulated and may pose a risk to themselves, staff, or other patients; collaborate closely with the IBH clinician, mental health supervisors, and other clinical staff to ensure timely and coordinated interventions.

* Collaborate with primary care providers, dentists, dental hygienists, clinical pharmacists, nutritionists, CHWs, and care coordinators to provide comprehensive, patient-centered care.

* Meet individual clinical productivity and billable targets while maintaining high-quality care.

Supervision & Care Coordination Management (15%)

* Manage the IBH-CC team and internship/practicum program, including hiring, onboarding, training, professional development, and performance management.

* Provide clinical supervision to the IBH clinician, who delivers evidence-based, short-term interventions in primary care and dental settings, and conducts risk assessments; offer consultation and oversight on high-risk cases.

* Oversee the care coordination team (bachelor's-level social workers or related qualifications), ensuring effective support for patients' health-related social needs (housing, food, transportation, access to care) as well as medical, behavioral health, and dental needs; care coordinators also facilitate referrals to higher levels of care (e.g., Targeted Case Management, IRTS, Help me grow) as needed.

* Monitor team performance and productivity, generate reports, and lead quality improvement initiatives to strengthen program outcomes.

Community Health Team Oversight (15%)

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