Clinical Care Manager: Coordination Specialist

4 days ago


Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time
Job Title:

Clinical Care Manager: Coordination Specialist

About the Role:

We are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a key member of our coordination team, you will play a vital role in ensuring that our members receive timely and effective care.

About the Job:

The Clinical Care Manager is responsible for coordinating care activities and collaborating with stakeholders involved in a member's case. This includes conducting utilization review activities, population management, cross-system consultation, and treatment quality monitoring.

To be successful in this role, you must have a strong understanding of behavioral health care services, system partners, service continuum, and established medical necessity criteria. You will also need to be able to work independently and as part of a team, utilizing excellent communication and interpersonal skills.

Responsibilities:
  • Care Coordination: Facilitate care coordination with external entities, including behavioral and physical health providers, Targeted Case Management (TCM), Transitions, Integration and Partnerships (TIP) Unit, Housing providers, Courts and Probation, Child Welfare, and School District of Philadelphia.


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