Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

The Complex Care Team Lead works to advance our goal of improving health outcomes for individuals experience complex medical, behavioral health and psychosocial needs. The Complex Care Team Lead works collaboratively with primary care, behavioral health, and other members of the clinical care team. This position provides leadership and support to a team of Associate Case Managers to ensure the highest level of patient care and staff satisfaction. The Complex Care Team Lead is a patient-facing role that supports engagement and builds trust with patients with complex medical and psychosocial needs.

The Complex Care Team Lead works to advance our goal of improving health outcomes for individuals experience complex medical, behavioral health and psychosocial needs. The Complex Care Team Lead works collaboratively with primary care, behavioral health, and other members of the clinical care team. This position provides leadership and support to a team of Associate Case Managers to ensure the highest level of patient care and staff satisfaction. The Complex Care Team Lead is a patient-facing role that supports engagement and builds trust with patients with complex medical and psychosocial needs The Complex Care Team Lead will report to the Complex Care Supervisor.

We are looking for a Complex Care Team Lead who:

• Has experience and expertise serving complex care patients; particularly patients experiencing homelessness, trauma, and complex medical conditions.
• Demonstrates experience/initiative in program development and improvement.
• Demonstrates leadership in the field of Complex Care.
• Can effectively give and receive feedback.
• Has demonstrated excellent coalition building skills and is comfortable working with community partners including community-based organizations (CBOs), Marin County, medical/BH specialists, and insurance providers.
• Has excellent organizational skills.
• Is comfortable working with individuals with complex behavioral health presentations and/or substance use disorders.
• Has passion for helping individuals navigate a complex system of care.
• Is a team player and welcomes guidance from multidisciplinary team members.
• Demonstrates initiative, creativity, and enjoys problem solving.
• Ascribes to the tenets of person-centered, trauma-informed, housing-first care.
• Demonstrates compassion and respect for individuals served in all interactions.
• Demonstrates a willingness to be flexible and adaptable in all aspects of this work.

• Works closely with a team of Associate Case Managers to ensure the delivery of high-quality, equitable, person-centered case management to MCC patients.
• Will complete new -patient assessments with Associate Case Mangers to ensure quality.
• Ensures robust onboarding and ongoing training/education for Associate Case Managers.
• Works closely with the Complex Care Clinical Supervisor for ongoing program development.
• Maintains expertise in Complex Care initiatives like CalAIM/ECM.
• May participate in interviewing/hiring staff.
• Facilitate internal and external case conferencing.
• Attend meetings with critical external partners.
• Provide program development support (creating workflows, grant participation, program evaluation, etc.).
• Ensure program reporting requirements and quality measures are met.
• Conduct home/community visits as needed.
• Document all Patient interactions and services using MCC’s electronic health record AND secondary database.
• Attend internal and external meetings (i.e., case conferencing, administrative)
• Attend relevant trainings such as health coaching, engagement techniques, etc.
• Timely and accurate reporting of data as requested to MCC CM programs.
• May travel between clinics or meet Patients in the community as needed.

Education and Experience:

• High School Diploma or Equivalent
• Completion of Lay Counselor Academy or equivalent certification/training
• 1-year experience in case management healthcare setting.
• 1-2 years’ experience (and passion for) providing support to individuals with chronic and complex BH needs, complex medical conditions and/or substance-using individuals highly preferable.
• Strong preference for knowledge/experience with CalAIM ECM initiatives.
• Knowledge of state regulations and legal/ethical standards related to patient rights, and client/patient confidentiality required.
• Training in motivational interviewing highly desired/or willingness to learn.

Required Skills and Abilities:

• Must be fluent in English with the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports and business correspondence in English.
• Must be able to communicate with patients and partners in Spanish: effectively present information and respond to questions from clients, customers, and the general public in Spanish.
• Must be able to conduct clinical assessment interviews and case management interventions with patients in Spanish.

Computer Skills:                                                    

• To perform this job successfully, an individual must be computer literate and knowledgeable in Microsoft Office software programs, and how to conduct searches on the Internet.

Certificates, Licenses, Registrations:

• CPR Training Current.
• Valid Driver’s License.

Physical Requirements:

• Prolonged standing and walking.
• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift to 15 pounds at times.
• Ability to drive to clinics and other locations in the community.

Benefits:

Our mission informs our approach to your benefits program. Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.

All employees are required to be fully vaccinated for COVID-19, including current booster as a condition of employment, subject to limited exemptions. New employees are required to provide proof of being fully vaccinated for COVID-19 and boosted before the first day of employment. If you completed your primary series and early boosters, but have not received the most recent booster, you will be required to get the most recent booster and mask until completed.

MCC is an equal opportunity employer.  We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.