Neighbor Care Program Manager

Description

 The Neighbor Care Program Manager will oversee Salt + Light’s CalAIM programs, including Enhanced Care Management (ECM) and Community Supports. This role is responsible for the day-to-day leadership, implementation, compliance, and performance of services within the Neighbor Care Department. 

The Neighbor Care Program Manager will directly supervise Care Support Specialists and ensure services are delivered with consistency, compassion, accuracy, and alignment with Medi-Cal and Managed Care Plan requirements. This position oversees staff workflows, caseload management, documentation quality, billing readiness, authorizations, care coordination, and program outcomes.

This role supports a hybrid staffing model where Care Support Specialists provide services across both ECM and Community Supports. The Neighbor Care Program Manager ensures clear accountability, strong supervision, and compliance oversight so that services remain effective, sustainable, and prepared for growth.

Requirements

Essential Duties and Responsibilities

In addition to the listed duties and responsibilities, others may be assigned.

Mission and External Engagement

• Represent Salt + Light and its mission to community partners, Managed Care Plans, local agencies, and stakeholders
• Promote a culture of dignity, compassion, love, belonging, and radical hospitality in all interactions
• Ensure services reflect Salt + Light’s values and support whole-person care
• Build and maintain strong relationships with neighbors, providers, community partners, and Managed Care Plans

Program Leadership and Service Delivery

• Lead day-to-day operations of Enhanced Care Management and Community Supports
• Ensure alignment with CalAIM, Medi-Cal, and Managed Care Plan requirements
• Maintain clear distinction between ECM and Community Supports documentation and billing
• Develop and maintain workflows that support consistent and compliant service delivery
• Monitor caseloads, service levels, and staff capacity
• Ensure coordination across programs to support whole-person care

Staff Supervision and Development

• Directly supervise Care Support Specialists across ECM and Community Supports
• Set clear expectations for caseloads, engagement, documentation, and follow-through
• Conduct regular one-on-one supervision and caseload reviews
• Monitor productivity, documentation timeliness, and service delivery
• Provide coaching, feedback, and corrective action when needed
• Support onboarding and ongoing training in CalAIM services and documentation standards

ECM and Community Supports Oversight

• Oversee ECM workflows including outreach, engagement, assessments, care planning, and reassessments
• Ensure ECM timelines are met, including assessments, care plans, and 90-day reviews
• Support coordination across medical, behavioral health, housing, and social services
• Oversee Community Supports services including housing navigation, tenancy support, outreach, and stabilization
• Ensure services are documented accurately and aligned with housing stability and care coordination
• Ensure both programs remain coordinated while meeting distinct requirements

Compliance, Documentation, and Billing

• Ensure all documentation meets Medi-Cal, Managed Care Plan, and internal standards
• Enforce the 72-hour documentation requirement
• Conduct regular chart reviews and audits
• Ensure documentation supports accurate and timely billing
• Monitor authorizations, renewals, claims, and denials
• Support resolution of billing issues and discrepancies
• Identify and address compliance risks

Data, Reporting, and Performance

• Oversee program data tracking and reporting
• Monitor key metrics related to engagement, services, and documentation
• Prepare reports for leadership and external partners
• Use data to identify trends and improve performance
• Ensure accurate data entry across required systems

Collaboration and Coordination

• Coordinate with internal teams to support integrated care
• Collaborate with clinical staff and external providers
• Participate in case conferencing and team meetings
• Maintain clear communication across programs

Continuous Improvement

• Identify gaps and improve workflows
• Strengthen service delivery, compliance, and accountability
• Stay current on CalAIM and Medi-Cal updates
• Promote best practices in care coordination and housing stabilization
• Support long-term program growth

Qualifications

Education

• Bachelor’s degree required in a related field such as social work, human services, public health, healthcare administration, psychology, sociology, or a closely related field
• Equivalent combination of education and relevant professional experience may be considered
• Master’s degree preferred

Knowledge, Skills, and Experience

• 3–5 years of supervisory experience in a case management, healthcare, or social services setting
• Demonstrated experience managing staff performance, accountability, and professional development
• Strong understanding of CalAIM, including Enhanced Care Management (ECM) and Community Supports preferred
• Knowledge of Medi-Cal documentation standards, compliance requirements, and billing practices
• Experience with caseload management, care coordination, and interdisciplinary team collaboration
• Ability to oversee workflows, track performance, and ensure timely, accurate documentation (including 72-hour standards)
• Experience with authorizations, renewals, and navigating Managed Care Plan processes preferred
• Strong organizational skills with the ability to manage multiple priorities and systems simultaneously
• Strong problem-solving skills with the ability to identify gaps and implement solutions
• Strong communication and relationship-building skills with staff, partners, and external providers
• Ability to use data to monitor performance, identify trends, and drive program improvement
• Experience with EHR systems, HMIS, Apricot, Sprite, or similar platforms preferred
• Knowledge of Tulare County resources and community-based services preferred

Technology Skills

• Proficiency in Google Drive is preferred
• Experience with EHR systems, billing platforms, and data systems
• Experience with Apricot, HMIS, Sprite, or similar systems preferred