Clinical Care Manager
1 day ago
Salary Range: $60,000 - $80,000 per year
About the RoleWe are seeking a highly skilled and experienced Clinical Care Manager to join our team at Community Behavioral Health. As a Clinical Care Manager - Neurodevelopmental Services Expert, you will be responsible for managing utilization review activities, population management, cross-system consultation, provider management, and treatment quality monitoring.
Key Responsibilities- Conduct thorough reviews of service authorization requests, ensuring compliance with established medical necessity criteria
- Collaborate with healthcare providers, caregivers, and other stakeholders to develop comprehensive care plans
- Facilitate communication between members, providers, and payers to ensure seamless care coordination
- Maintain accurate records of member interactions, including progress notes and outcomes assessments
- Identify opportunities for cost savings and implement strategies to optimize resource utilization
- Participate in interagency meetings and collaborative efforts to advance the interests of our members
- Develop and maintain strong relationships with healthcare providers, community organizations, and other stakeholders to promote access to quality care
- Bachelor's degree in a relevant field, such as psychology, social work, or counseling
- Minimum 2 years of experience in a clinical setting, preferably in a leadership role
- Excellent communication, interpersonal, and problem-solving skills
- Ability to work independently and as part of a team
- Strong analytical and technical skills, including proficiency in electronic health records
- Familiarity with behavioral health principles, policies, and procedures
At Community Behavioral Health, we are committed to providing exceptional care to our members and fostering a supportive, inclusive environment for our staff. As a Clinical Care Manager - Neurodevelopmental Services Expert, you will have the opportunity to make a meaningful difference in the lives of our members and contribute to the advancement of our organization.
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