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    Clinical Care Management Coordinator- Adult Substance Use - Philadelphia, PA, United States - Community Behavioral Health.

    Community Behavioral Health.
    Community Behavioral Health. Philadelphia, PA, United States

    3 weeks ago

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    Full time
    Description

    The Clinical Care Management Coordinator is responsible for directing the daily operations related to their respective clinical teams to ensure the standards of care and practices are being delivered in accordance with state regulation guidelines.

    Community Behavioral Health (CBH) will hold each employee accountable for the following expectations which align with our mission, vision, and corporate code of conduct.

    Serve as a role model by exemplifying professional behavior, language, skills, and attire in order to promptly and accurately serve the needs of stakeholders, members and their families.

    Assure adherence to CBH policies and procedures so that all work is of the highest quality and delivered in the most culturally competent and cost effective manner.

    Promote and manage diversity and acceptance within CBH and with all members and stakeholders by honoring and respecting their individuality, dignity and rights.

    Offer suggestions and develop solutions to help promote effective and efficient work processes and innovative programs.

    Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste or abuse.

    Builds and maintains a strong functional team through effective recruiting, training, performance management, coaching, team building and succession planning.

    Creates policy and protocols to help the Clinical Department function effectively.
    Performs and oversees clinical quality auditing and feedback.
    Provides regular supervision and documentation of supervision consistent with standards in the field.

    Ensures that Clinical Care Managers have ease of access to provider sites to conduct work with members, families and providers.

    Accompanies Clinical Care Managers and Clinical Supervisors to community between 10 and 15% of work time to provide ongoing clinical supervision and feedback.

    Meets with staff to provide clinical consultation on cases.
    Works with Physician Advisors to ensure appropriate consultation for high risk members.
    Anticipates and manages response of crisis situations.
    Works closely with Clinical Care Management Coordinators of other teams to facilitate consistent longitudinal care management.

    Works collaboratively with the Quality Management Department to identify key indicators of provider stability and ensures monitoring and action to rectify any concerns.

    Obtains and reviews data relevant to members served by the team, clinical operations and staff monitoring to guide interventions.

    Utilizes data driven decision making.

    Ensures that direct reports have adequate knowledge of evidence-based practices and which evidence-based practices are offered by providers in network; makes certain that evidence-based practices are routinely discussed in supervision between Clinical Supervisors and Clinical Care Managers.

    Ensures that Crisis Line team provides 24-hour utilization management by adequately trained care managers.
    Implements protocols to ensure that Clinical Care Managers require appropriate risk assessment of members by providers.
    Oversees prior authorization for all non-ambulatory levels of care.

    Sets forth expectations that members' care be carefully coordinated with teams providing longitudinal care management and that Clinical Care Managers assist in development of a care management plan.

    Optimizes care management review of the member's crisis plan with providers as applicable.
    Meets with providers to ensure collaboration and awareness of protocols, data monitoring and improvement of outcomes for members.
    Provides training on clinical care management operational procedures.
    Engages in initiatives across agency and with external stakeholders related to promoting engagement and connection to appropriate behavioral health services for CBH members

    Master's degree in Social Work or related field
    PA Child Abuse Clearance required.

    Relevant Work Experience:
    Minimum of 3 years of post-graduate experience with a minimum of 1 year of supervisory experience.
    Understanding of mental health and substance abuse services or interventions
    Proficient in MS Office and able to type at least 20 words per minute
    Ability to provide clinical supervision related to complex clinical presentation of member

    Leadership :
    Effectively manage and guide efforts to address challenges and drive continuous improvement for CBH's programs, services and processes. Recognize and promote the necessity to hire, assess, develop and retain high quality talent.

    Acknowledge strengths and weaknesses in team members through an ongoing performance management process that provides timely feedback in order to help them develop and enhance performance.

    Work Conditions (including travel, overtime required, physical requirements and occupational exposure):
    Requires ability to travel, including out-of-state and overnight, as needed.
    Ability to utilize computers and office equipment to complete daily work responsibilities.
    No protective equipment routinely needed.
    The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

    We strive to promote and sustain a culture of diversity, inclusion and belonging every day.

    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.

    CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed.

    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.

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