A Associate Director of CalAIM Services (ADCS) contributes to AHF by blending the Mission and Core Values with care coordination processes and functions. The ADCS provides operational oversight of Enhanced Care Management (ECM) and CalAIM services across populations of focus, guiding the program evolution from implementation to optimization and sustainability. The ADCS maintains accountability for ECM performance metrics including enrollment, engagement, retention, service delivery timeliness, and outcomes, manages the CalAIM Community Health Worker & Basic Population Health Management Programs, monitors and analyzes Community Supports utilization, translates DHCS policy, All Plan Letters (APLs), and MCP contract requirements into operational strategy and is responsible for the establishment and achievement of the Care Management Division (CMD) goals and objectives for all CalAIM programs and services. The ADCS collaborates with Care Management, Clinical Operations, Quality, Finance, IT, and Community-Based Organizations to ensure seamless coordination between ECM, Community Supports, utilization management, and care coordination; thereby, improving health outcomes, promoting health equity, overcoming Social Determinants of Health (SDOH) barriers, and improving patient satisfaction and retention rates. The ADCS demonstrates strong leadership skills, clinical skills, proactive thinking, comprehensive knowledge of healthcare rules and supportive services, with a special focus dedicated to HIV/AIDS members, ensuring that all members have access to a comprehensive set of services based on their needs and preferences across the continuum of care.
A ADCS enhances the reputation of AHF by maintaining the AHF Management Philosophy principles, which is inclusive of the following elements: Mission Driven, Fairness, Learning, Hands On, Accountability and Tenacity. The ADCS also utilizes core nursing principles, including Autonomy, Beneficence, Non-maleficence, and Justice, which promotes patient-centered, compassionate care, as well as Fidelity, Veracity, Accountability, and Compassion, which promotes professionalism and patient advocacy. Combining these principles will facilitate meeting members where they are, help identify patient strengths and barriers, and assist patients with realistic goal setting to improve health outcomes, health equity, and quality of life.
You will be a passionate advocate for our top initiatives.
To be successful as a ADCS it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.
AHF has a collaborative organizational structure where staff are accountable to multiple leaders.
The ADCS will work as a part of a close-knit team to maintain a comprehensive knowledge of the DHCS CalAim regulatory requirements, the CMD Model of Care, Health Plan Accreditation Standards, and county/state regulations and guidance, including All Plan Letters and contract deliverables, and provide updates to the team on a routine basis. The ADCS monitors ECM-related financial performance, staffing models, and resource utilization, supports budgeting, forecasting, and contract negotiations related to CalAIM services, identifies risks and opportunities related to reimbursement, performance incentives, and sustainability, directly manage ECM staff, providings mentorship, and establishes standardized workflows, policies, and reporting structures.
Licenses and Certifications: CA RN License required; BSN preferred
Acute care experience preferred
Care Management experience preferred
Managed Care experience preferred
Bilingual Spanish preferred
Benefits at AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health.
