Children and Family Program Manager, San Francisco, CA
Children and Family Program Manager
Job ID 2017-1062
Job Locations US-CA-San Francisco
Category Health Services
Type Regular Full-Time
More information about this job
Established in 1997, San Francisco Health Plan (SFHP) is a an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco county. San Francisco Health Plan is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 145,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves, and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.
The SFHP Care Management Support program is focused on managing care for high risk members with heavy use of acute health services including hospitals and emergency departments. The current interdisciplinary team consists of three licensed master’s level social work supervisors and bachelor’s level/otherwise experienced Community Coordinators with input from pharmacists, RNs, and physicians.
The SFHP Children and Families Program Manager (CFPM) will be responsible for developing relationships with and acting as the primary point of contact for children and families entities. These entities include those providers that are “carved out” of managed Medi-Cal services including Golden Gate Regional Center (GGRC), California Children Services (CCS) and Child Health Disability Prevention program (CHDP). The CFPM will ensure systems and processes are established between these entities focused on coordination of care and benefits for these members. In addition to working with our contracted partners, the CFPM will work with internal SFHP staff and providers to make program recommendations to ensure quality of care for babies, children, adolescents and pregnant members. The CFPM will make recommendations on Care Management’s adaptations to state and federal initiatives in the best interest of our members
The Children and Families Program Manager needs experience and comfort working with children and families in a variety of settings. Experience with program development or process improvement is preferred. Knowledge of resources and community based organizations serving this population in the City and County of San Francisco is ideal. This position will be based in the SFHP office and may involve travel within San Francisco County for meetings and trainings.
WHAT YOU'LL DO
- Act as a liaison between SFHP and the City and County about services for low income families.
- Actively participate in GGRC and CCS joint meetings with SFHP
- Forge relationships with local children and families organizations, such as SFUSD, Homeless Prenatal Program, Homeless Children’s Network, Compass Family Services and Hamilton Family Center.
- Work with SFHP Compliance department to understand and execute our contract requirements and policies related to children and family services.
- Coordinate with SFHP Healthy Kids staff to understand and support the benefit including both internal and external knowledge sharing
- Actively learn about and act as a subject matter expert on Medi-Cal benefits for pregnant members and children 0-18 years
- Coordinate with our Health Outcomes Improvement department on services for pre and postpartum disparities.
- Work with internal departments to increase provider support and training to provide member-centered post-partum services
- Coordinate with internal workgroups regarding maternal and child health
- Provide legislation and policy updates to Care Management related to pregnancy, children and families
- Regular communication, both written and oral, to internal and external parties
- Outreach to community and other service providers to identify new and existing opportunities and build strong relationships to better assist members
- Attend meet and greets as requested by providers in order to inform them about Care Management services.
- Develop and manage monthly/quarterly reports as required from automated systems; including light data analysis and trending.
- Development and implementation of strategic planning, including work plans and metrics
- Actively participate as a member of the SFHP Care Management team, providing input and creative strategies to address health issues and promote wellness
- Complete all required documentation in a timely fashion in accordance with regulations and office standards.
- Interface with SFHP Health Outcomes Improvement, Compliance, Policy, Clinical Operations and Pharmacy teams
- Work closely with Community Coordinators with the Children and Families focus
- Participate in regularly scheduled staff development trainings.
- Attend and participate in regularly scheduled supervision meetings.
- Positively represent the program to internal and external customers
- Resolve low scope project issues (schedule delays, resources, etc)
- Other duties as assigned
WHAT YOU'LL BRING
- Bachelor’s degree in Psychology, Child Development, Sociology, and similar
- 1 – 2 years relevant experience
- MPH, MPA or MSW preferred or equivalent combination of education and experience
- Experience working with maternal health
- Experience working with children, families and adolescents
- Understanding of basic program development; experience as a Program Manager or Project Manager strongly preferred
- Ability to respond to common inquiries or complaints from our members or providers
- Basic medical knowledge including the ability to recognize social and medical risk factors
- Knowledge of trauma symptoms and behaviors, and chronic disease conditions
- Experience working with people with mental illness, addiction issues, and/or homelessness
- Understanding of project/program management techniques and methods with policy development and/or implementation
- Ability to engage and work collaboratively with others, including members, members families, clinical team members and community resources
- Excellent customer service skills; cultural knowledge and sensitivity to the population being served. Knowledge and experience working with immigrant families preferred
- Strong presentation, written and verbal communication skills
- Proficient use of common Microsoft Word applications such as Word, Excel, Outlook and Access
- Experience with the SF Unified School District and community resources in San Francisco a plus
- Experience with Medi-Cal, Medi-care, and/or Department of Health Care Services regulations and standards, and other state and federal insurance programs a plus
San Francisco Health Plan is an Equal Opportunity Employer (EOE) M/F/D/V Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.