CalAIM Program Manager

Institute On Aging - San Jose, CA

Full-time - Manager

San Jose, CA

Social Assistance

About the position

The Manager for the CalAIM program at the Institute on Aging will lead program operations in Santa Clara, focusing on enhancing care management services for aging adults and individuals with disabilities. This role involves overseeing clinical and administrative staff, ensuring compliance with contract guidelines, and collaborating with community partners to improve service delivery and outcomes.

Responsibilities

• Direct and monitor the Program to adhere to contract guidelines and acceptable clinical standards of practice.
• Provide oversight and leadership to the 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.
• Ensure 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 Santa Clara Health Plan.
• Work in collaboration with providers to identify gaps in community-based services and supports for high-risk, low-income individuals.
• Ensure 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, and terminating of all staff.
• Participate in relevant Community Based Organization and city agency services meetings and community workgroups that are relevant to care management services.
• Participate in relevant meetings and workgroups within the Health Plan to develop a more integrated long-term care community support system.
• Become an expert in supportive housing options 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.
• 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.
• May direct and monitor additional smaller programs to adhere to contract guidelines and acceptable clinical standards of practice.
• Prepare for and facilitate ongoing audit requirements as requested by the City and County as well as Health Plan.
• 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.
• 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.
• In collaboration with VP and Division Business Manager, review and approve budgets as needed.
• Develop program budgets and budget modifications for IOA.
• In collaboration with IOA Accounting and Finance Business Partner, update Adaptive forecasts on an ongoing basis.

Requirements

• 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.
• Master's degree in administration, public health, social work or a related field from an accredited school.

Nice-to-haves

• Licensed Clinical Social Worker, Licensed Psychologist, or Registered Nurse preferred.
• 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.

Benefits

• Competitive salary range of $100,401.00 - $118,119.00 annually.
• Opportunities for professional development and growth.
• Supportive work environment focused on community impact.