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Clinical Care Manager

Community Behavioral Health.

William Penn Annex West, PA

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JOB DETAILS
SKILLS
Acute Care, Behavioral Health, Case Management, Childcare, Clinical Medicine, Clinical Monitoring, Clinical Support, Communication Skills, Customer Support/Service, Discharge Plans, Hospital, Interpersonal Skills, Legal, Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Long-Term Care, Managed Care, Medications, Microsoft Excel, Microsoft Office, Organizational Skills, Presentation/Verbal Skills, Quality of Care, Social Work, Team Player, Time Management, Utilization Management, Writing Skills
LOCATION
William Penn Annex West, PA
POSTED
Today
The Specialty Populations Clinical Care Manager (CCM) is responsible for longitudinal care management and clinical oversight of members with complex behavioral health needs residing in high acuity and long-term residential settings. These settings include Extended Acute Care, Non-Hospital Extended Acute Care, Residential Treatment Facility for Adults, Long Term Structured Residences, Integrated Behavioral Health in Long- Term Care and Community Treatment Team – Clinically Supportive Living. This role ensures clinically appropriate and person-centered care through ongoing utilization management, provider collaboration, and system coordination. The Clinical Care Manager actively supports discharge planning, reduction of prolonged lengths of stay, and transitions to the least restrictive level of care, while addressing clinical, social, and legal barriers impacting member outcomes. Essential Functions Deliver longitudinal, integrated care management for assigned members across levels of care and systems. Apply knowledge of behavioral health systems, service continuums, and medical necessity criteria in all clinical and administrative activities. Collaborate with members, natural supports, and providers in communities, hospitals, and virtual environments. Ensure Providers are using Evidence-based Practices in treatment planning for members. Team - Specific Functions Specialty Populations Care Management Team Complete 8 -15 UM activities per day. Conduct care coordination to support collaboration with system partners. Participate in case reviews, provider meetings, and interagency discussions. Review and process referrals for residential levels of care. Support resolution of cross-system barriers impacting member care. Manage a caseload of members with prolonged lengths of stay, communication, or accessibility needs, Identify systemic and individual barriers impacting care progression. Initiate and maintain discharge planning at admission, with ongoing updates throughout the length of stay. Identify and address barriers to discharge, including clinical stabilization, housing availability, legal or forensic restrictions, and independent living skill deficits. Collaborate with providers to develop actionable and realistic transition plans. Facilitate movement to lower levels of care when clinically appropriate. Ability to engage with members and providers onsite at provider location. Other duties as assigned Position Qualifications Education: Master’s degree in Social Work or a related clinical field. Licensure: PA Child Abuse Clearance required. Required to obtain licensure within the first 18 months (1.5 years) of employment if not already licensed. Candidates must have at least one of the following licenses: Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW) Experience: Minimum of 3 years of direct clinical care experience working with adults, children, adolescents, and/or their families in behavioral health settings. Experience in assessment and treatment planning required. Experience in managed care or utilization management preferred. Prior experience in residential settings strongly preferred. Core Skills & Competencies: Excellent clinical case conceptualization and treatment planning skills. Strong communication skills, both verbal and written, with ability to collaborate across systems. Excellent interpersonal and collaboration skills. Ability to facilitate care team and interagency meetings. Familiarity with medications and behavioral health terminology. Strong customer service orientation. Proactive planning and organizational skills. Proficient in Microsoft Office (especially Excel); ability to type 40 words per minute. Strong time management skills; ability to multi-task and work independently or as part of a team. Compliant with HIPAA and applicable clinical documentation standards. Skills in conflict resolution, engagement, and clinical supervision/oversight of care coordination are essential. Philadelphia Residency Requirement: The successful candidate must be a current Philadelphia resident or become a resident within six months of hire. Equal Employment Opportunity: We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law. Requesting An Accommodation: CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired. If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov PI8ba333c907de-25448-407557985c143e31-5e48-4549-b638-05792d185386

About the Company

C

Community Behavioral Health.

Community Behavioral Health (CBH) is a not-for-profit 501c (3) corporation contracted by the City of Philadelphia to provide mental health and substance abuse services for Philadelphia County Medicaid recipients.

Supported through state funding, CBH works in partnership with the City of Philadelphia and the Commonwealth of Pennsylvania to provide vital behavioral health services. Today, CBH is responsible for providing behavioral health coverage for the City’s 420,000 Medicaid recipients. Its primary activities include:

  • Authorizing payment for behavioral health services
  • Requiring provider agencies to deliver effective and medically necessary services
  • Achieving management and operational efficiencies to lower healthcare costs

CBH is located in Philadelphia’s historic center city district. We offer competitive salaries and liberal benefit package, including:

  • 403(b) with 8% company match
  • Medical HMO & HNO, Dental, Vision, and Pre ion Drug coverage, with low co-pays
  • Basic and Supplemental Life & AD&D
  • Generous paid time off, including holidays, vacation, personal and sick days
  • Long-Term Disability
  • Tuition Reimbursement
  • Employee Assistance Program
  • Transit Program
  • Company Wellness Program
  • Retiree Health Care

Most importantly, we offer an opportunity for dedicated professionals to have an immediate impact in the lives of the people we serve. Please review our web site at www.phila.gov/dbhids for more information about our company and to apply for positions.

COMPANY SIZE
100 to 499 employees
INDUSTRY
Healthcare Services
FOUNDED
1997
WEBSITE
http://www.phila.gov/dbhids