SUMMARY  

The Integrated Care Manager leads the development, implementation, and oversight of integrated, culturally responsive care coordination across medical, behavioral health, substance use, social services, and community wellness programs. This position directly supervises Traditional Health Workers, Care Navigators, and Case Managers, strengthening team alignment, documentation, and culturally grounded service delivery. The role coordinates the startup and ongoing administration of Tribal Best Practices, including service workflows, billing readiness, compliance, and quality improvement, while supporting grant-funded program requirements.

PRINCIPAL ACTIVITIES & RESPONSIBILITIES: 

• Lead the planning, startup, implementation, and ongoing improvement of integrated care services and Tribal Best Practices programs, in coordination with Tribal Health leadership.
• Develop and maintain service workflows, referral processes, documentation standards, and operational procedures for Tribal Best Practices and other integrated care activities.
• Coordinate with billing, finance, and clinical teams to establish billing readiness, service tracking, coding and reimbursement workflows, and processes for resolving documentation or claim issues.
• Directly supervise Traditional Health Workers, Care Navigators, and Case Managers, including assigning work, coaching, training, evaluating performance, and ensuring consistent service delivery.
• Oversee person-centered care coordination and warm handoffs across medical, behavioral health, pharmacy, Purchased/Referred Care, housing, social services, and community resources.
• Collaborate with Cultural Services, Elders, traditional practitioners, and community partners to incorporate Tribal values, traditional healing pathways, and culturally appropriate practices into services.
• Facilitate interdisciplinary meetings, care planning, referrals, and communication with internal teams and external partners, including IHS and other healthcare providers.
• Ensure accurate, timely, confidential documentation and monitor compliance with applicable Tribal, federal, state, grant, payer, and organizational requirements.
• Monitor grant deliverables, program outcomes, service utilization, billing processes, and performance measures; support required reporting, program evaluation, and funding sustainability.
• Identify gaps in services, workflows, and staff training; recommend and implement quality improvement initiatives that strengthen continuity of care and member experience.
• Collaborates efficiently and effectively while consistently demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
• Other duties as directed by management.

LEVEL OF AUTHORITY & RESTRICTIONS

• Supervises an assigned team with authority for day-to-day work assignments, staff guidance, performance management, and operational decisions within approved policies, budgets, and delegated authority.
• Program, staffing, financial, and policy decisions requiring higher-level approval must be referred to Health Services leadership.

PHYSICAL & MENTAL DEMANDS

• Requires the ability to manage moderate levels of stress arising from schedules, workload, and diverse stakeholders.
• Must be able to communicate effectively, use a computer, sit and type for extended periods, and move throughout clinical and office settings.
• Vision abilities include close vision and the ability to adjust focus; occasional standing, walking, reaching, and lifting of routine office materials may be required.

WORKING CONDITIONS & ENVIRONMENT

• Work is primarily performed on-site in clinical healthcare and office settings, with frequent interruptions and collaboration across departments.
• May require occasional evening or weekend work and local travel within the CTCLUSI service delivery area.
• May enter patient care areas with potential exposure to communicable illness; follow applicable infection prevention procedures and use protective equipment when required.

MINIMUM JOB REQUIREMENTS

• Must be 25 years of age or older per our vehicle use policy.
• Bachelor's degree in Nursing, Social Work, Behavioral Health, Public Health, Healthcare Administration, or a related field.
• Minimum of three (3) years of experience in care coordination, case management, integrated healthcare, or related healthcare services.
• Minimum of one (1) year of supervisory, team leadership, or program management experience.
• Experience working with Tribal communities or Indigenous populations and knowledge of trauma-informed, culturally responsive service delivery.
• Knowledge of healthcare documentation, billing processes, regulatory compliance, and quality improvement.
• Ability to coordinate multidisciplinary programs, supervise staff, and communicate clearly and effectively.
• Must have a valid driver’s license and be able to be insured to drive Tribal Government vehicles. 
• Experience and proficiency in the use of Microsoft products (Excel, Outlook, PowerPoint, Word, etc) and electronic documentation systems.
• Ability to communicate clearly and effectively in English, verbally, in writing or by other acceptable means. 
• This position is considered a covered role per the CTCLUSI Background Investigations Policy. A state criminal background check and fingerprint-based background check will be required as a condition of employment.
• This position is subject to pre-employment and other authorized drug and alcohol testing in accordance with company policy. 
• Must have employment eligibility in the U.S.
• Indian preference will be observed in the hiring process.