Umpqua Health · 12 hours ago
Program Manager, System of Care (SOC)
Umpqua Health is a community-driven Coordinated Care Organization (CCO) dedicated to improving health and well-being in Douglas County, Oregon. The Program Manager for the System of Care is responsible for establishing and improving a functional System of Care for child and youth behavioral health, ensuring comprehensive and community-based services while leading governance structures and collaborations.
Health CareHospitalTraining
Responsibilities
Establish and maintain a functional System of Care for the Service Area with a governance structure that includes a Practice Level Workgroup, an Advisory Committee, and an Executive Council with meaningful youth and family representation
Ensure governance bodies fulfill required functions. Combine bodies where appropriate if all functions are preserved. Coordinate with any other Coordinated Care Organizations in the same Service Area to maintain a singular, collaborative System of Care structure
Convene and lead the Practice Level Workgroup to review Wraparound practice barriers, remove barriers when possible, and elevate unresolved system barriers to the Advisory Committee and or Executive Council for resolution and for advancement to the State System of Care Steering Committee
Ensure representation from providers who supervise individuals from local public child serving agencies including Child Welfare, education, Juvenile Justice, Oregon Youth Authority, Tribal communities, intellectual and developmental disabilities, and behavioral health. Ensure meaningful participation from youth and family members
Lead the Advisory Committee to advise on policy development and implementation and to provide oversight using an approved strategic plan
Ensure the Advisory Committee responds to system barriers escalated from the Practice Level Workgroup and makes recommendations to the Executive Council as needed
Ensure membership includes providers and local public child serving agencies with authority to make program level financial and policy changes and includes meaningful participation from youth and family members
Facilitate the Executive Council to develop and approve policies and shared decision-making regarding funding and resource development. Oversee review of project outcomes and identification of unmet community needs to support expansion of the service array
Ensure membership includes the Contractor, providers, and local public child serving agencies with authority to make program level financial and policy changes and includes meaningful participation from youth and family members
Develop and maintain System of Care policies and procedures approved by the Executive Council that describe: How youth and families are meaningfully supported to lead and participate at all levels of governance. How the System of Care is culturally and linguistically appropriate to the needs of communities in the Service Area. How community partners and system partners are included and collaborate to ensure access to needed support and services
Submit System of Care policies and procedures to OHA within five business days upon request in the format and manner specified by OHA
Provide programmatic oversight of all System of Care related grants
Ensure grant funded activities align with approved scopes of work, performance measures, and reporting requirements
Collaborate with finance, contracts, and program staff to monitor grant budgets, expenditures, and allowable costs
Manage and prepare the L Report for finance, ensuring accurate allocation, tracking, and reconciliation of CBI and SHARE funds
Support audit readiness by maintaining documentation related to grant deliverables, expenditures, and outcomes
Identify risks to grant compliance or funding sustainability and implement corrective actions as needed
Monitor compliance with applicable Oregon Administrative Rules including OAR 410 141 3860, 410 141 3865, and 410 141 3870 and with organizational care coordination policies and procedures
Ensure adherence to documentation, productivity, and quality standards and support audit readiness
Submit biannual System of Care barrier reports to OHA for the System of Care Advisory Council State Agency Standing Committee within thirty days after each six month period using the OHA provided template
With Care Coordination team ensure timely completion of Health Risk Screenings, rising risk monitoring, and care transitions in alignment with state and contract requirements
Support fidelity to Wraparound practice and alignment of workflows across partners and programs
Ensure only providers certified by the Praed Foundation administer the CANS Oregon tool
Ensure CANS Oregon completion for each member enrolled in Fidelity Wraparound within thirty days of program enrollment, every ninety days thereafter, after significant events, and upon program exit
Ensure timely and accurate entry of CANS Oregon data into the OHA designated online data system per state instructions
Strengthen interdisciplinary partnerships among physical health, behavioral health, dental, developmental disability, education, juvenile justice, Child Welfare, Tribal communities, and social service systems to advance whole person, integrated care
Participate in internal and external meetings, workgroups, and committees to support coordinated member care and system integration across the Service Area
Track, analyze, and report governance participation, timeliness, outcomes, and improvement initiatives. Use data to drive decision making and resource allocation
Identify workflow and system barriers and implement corrective actions that improve efficiency, equity, and member experience
Maintain HIPAA compliance and data privacy standards across all activities
Ensure professional, respectful, and trauma informed communication with youth, families, providers, and partners
Serve as an escalation resource and provide consultation on complex system issues and cross agency barrier resolution
Qualification
Required
Bachelor's degree in public health, social work, psychology, public administration, or a related field
Five years of experience in child and youth behavioral health, Wraparound, System of Care, or managed care environments
Two years of experience in program leadership, grant management, or cross system governance
Demonstrated experience overseeing grant funded programs and working with finance teams on budget tracking and reporting
Knowledge of Oregon CCO behavioral health requirements and System of Care principles
Proficiency with Microsoft Word, Excel, and data tracking systems
Preferred
Master's degree in a related field
Experience managing CBI and SHARE funding streams
Experience preparing or overseeing the L Report or similar financial reconciliation reports
Familiarity with OHA reporting, audit readiness, and compliance requirements
Praed Foundation CANS certification or oversight experience
Demonstrated success engaging youth and family partners
Benefits
Generous benefit packages including PTO
Health/Vision/Dental Insurance
401k with a company match
Gym membership reimbursement
Tuition reimbursement
And more.
Company
Umpqua Health
Umpqua Health helps improve the health and well-being of the community by delivering easily accessible and quality healthcare.