Healthcare Professional for Population Management

5 days ago


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

We are seeking a skilled Clinical Care Manager to join our team at Community Behavioral Health. This role is responsible for managing the care of individuals with complex behavioral health needs, ensuring they receive timely and effective treatment.

Key Responsibilities
  • Utilization Management
    • Conduct utilization review activities, including interagency meetings, social determinants interviews, treatment team meetings, and case consultations.
    • Authorize treatment when medical necessity criteria are met.
  • Care Coordination
    • Work directly with members, natural supports, and providers in the community to coordinate care and address social determinants, barriers to wellness, and other needs.
  • Case Management
    • Monitor member's length of treatment and work collaboratively with providers and other systems to address barriers to receiving treatment in a less restrictive environment.
  • Documentation and Communication
    • Maintain accurate and detailed documentation in our electronic system, consistent with agency and industry standards.
    • Respond to care coordination correspondence within 24-48 hours or sooner if necessary.
Requirements
  • Education
    • Master's degree in Social Work or related field.
  • Certification/Licensure
    • Qualified candidates are required to obtain licensure within the first 18 months of employment.
  • Experience
    • Minimum of 3 years of direct clinical care experience working with adults, children, adolescents, and/or their families in behavioral health settings.
Salary and Benefits

The estimated salary for this role is $65,000 - $85,000 per year, depending on experience. Additionally, we offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as paid time off and professional development opportunities.

Please note that salaries may vary based on location and other factors. The salary range provided is an estimate based on industry standards and the requirements of the role.



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