Clinical Program Manager

The Clinical Program Manager leads the implementation and operationalization of the Early Intervention Specialty Mental Health Services program in partnership with Alameda County Behavioral Health Department. The role involves program management, clinical oversight, compliance with Medi-Cal billing and documentation standards, staff supervision, and community partnership to ensure high-quality trauma-informed care for clients with early-stage mental health needs.

Responsibilities

• Work with office senior leadership to implement IRC’s EI SMHS program in accordance with ACBHD’s EI program model, including staffing models, service workflows, and documentation systems
• Establish and maintain program policies, procedures, and operational infrastructure in compliance with BHSA regulations and ACBHD contracting requirements for FY 26/27 and beyond
• Track program performance against ACBHD productivity standards (30% direct service for Outreach; 30% for Treatment) and the 50% Medi-Cal billable services threshold required in Year 1
• Drive continuous quality improvement and sustainable program growth
• In collaboration with Finance team, ensure accurate use of HCPCS codes (e.g., H2017, H2019, T1017) and correct application of provider type and modifier rules
• Ensure documentation practices align with Medi-Cal SMHS requirements and withstand audit scrutiny, including treatment plan linkage, credential-appropriate service coding, and progress note standards
• Conduct regular audits of case files, billing records, and service documentation
• Collaborate with IRC finance and compliance teams to resolve discrepancies and prepare for monitoring reviews
• Supervise program staff, including ASWs, Mental Health Rehabilitation Specialists (MHRS), and other direct service providers
• Provide clinical oversight of assessments, treatment plans, and case documentation; facilitate case conferences and support clinical decision-making
• Ensure case documentation meets Medi-Cal SMHS standards; take full responsibility for case conferences, treatment plan compliance, and clinical decision-making
• Support staff development through training, coaching, consultation and skill-building focused on documentation standards, SMHS compliance, and trauma-informed practice
• Ensure all services meet licensing, ethical, and regulatory standards and are delivered in a culturally responsive and linguistically appropriate manner
• Lead crisis interventions including independent decision making on client safety interventions and APS/CPS reporting
• Coordinate with ACBHD program staff on EI model requirements, monitoring benchmarks, and billing transition timelines; serve as a key day-to-day point of contact with Alameda County Behavioral Health
• Develop and maintain working relationships with community providers, managed care organizations, and other referral and service partners
• Participate in external coalitions, working groups, and county stakeholder meetings on behalf of IRC
• Maintain a small caseload if appropriate to program needs

Requirements

• Active and unrestricted licensed Clinical Social Worker (LCSW) in good standing with the California Board of Behavioral Sciences (BBS)
• Eligible to be an approved clinical supervisor in California (licensed for 2+ years in the state of CA)
• 2+ years post-licensure experience providing clinical mental health services, ideally within a Medi-Cal setting
• 2+ years supervising staff
• 1+ years managing programs
• Demonstrated experience with new project development and implementation preferred
• Experience with Alameda County’s behavioral health system, ACBHD contracting processes, or county-funded SMHS programs
• Deep knowledge of SMHS billing practices: HCPCS codes, Medi-Cal documentation standards, provider type credentialing, and county contract compliance
• Strong understanding of policies and procedures governing behavioral health, preferably in Alameda County
• Experienced with community outreach and engagement, including with schools, FQHCs, community-based organizations, and other human and social service providers
• Strong quality assurance and audit skills; able to identify billing and documentation compliance risks and build systems to address them
• Effective supervisor with the ability to develop staff across a range of credentials and experience levels
• Experience working with refugees, immigrants, or other forcibly displaced populations preferred
• Experience with MAA billing or Medical Administrative Activities a plus
• Analytical and systems-oriented; comfortable with financial modeling, productivity tracking, and program data
• Excellent written and verbal communication skills, including experience representing programs to funders and county partners
• Commitment to trauma-informed, culturally responsive, and client-centered care
• Proficient in Microsoft Office (especially Excel); experience with EHR/billing platforms a plus
• Required: English fluency
• Preferred: Bilingual, preferably in Spanish, Arabic, Dari, Tigrinya, or other language spoken by the Alameda County refugee and immigrant community

Skills

• Licensed Clinical Social Worker
• Clinical Supervision
• Mental Health Services
• Programme Management
• Project Development
• Behavioral Health System Knowledge
• SMHS Billing Practices
• HCPCS Coding
• Medi-Cal Documentation
• Provider Credentialing
• County Contract Compliance
• Behavioral Health Policies
• Community Outreach
• Quality Assurance
• Audit Compliance
• Staff Supervision
• Refugee Services
• MAA Billing
• Financial Modeling
• Productivity Tracking
• Program Data Analysis
• Written Communication
• Verbal Communication
• Trauma-Informed Practice
• Culturally Responsive Care
• Client-Centered Care
• MS Excel
• EHR Systems

Languages

English