Clinical Care Management Coordinator

The Clinical Care Management Coordinator: Psychiatric Emergency Services 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.

Essential Functions:

• 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.
• Monitors productivity and ensure that standards are being met.
• Provides regular supervision and documentation of supervision consistent with standards in the field.
• Participates in internal and external meetings to develop monitor and analyze services and resources to ensure these effectively and efficiently meet the needs of members.
• 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.
• Maintains collaboration with other CBH departments to ensure intradepartmental efficiencies.
• Ensures interdisciplinary communication of critical member and provider related information.
• 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.
• Models and requires exceptional customer service in work with members and providers.
• Perform on-call duties as instructed.
• Performs other duties as assigned.

Team Specific Responsibilities:

• Ensures that Crisis Line team provides 24-hour utilization management by adequately trained care managers.
• Oversees triage and referral for members in crisis and timely resolution of crisis-related problems.
• Monitors and ensures calls are answered in expected amount of time (30 seconds; 5 rings).
• 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.
• Develops and monitors process for sharing members longitudinal history with providers and documentation of the communication.
• 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 members crisis plan with providers as applicable.
• Collaborates with team and other departments to develop processes and protocols to assist in bed search for members.
• Meets with providers to ensure collaboration and awareness of protocols data monitoring and improvement of outcomes for members.
• Promotes use of Evidence Based Practices with providers.
• Delegates to Supervisors as needed.
• 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

Position Requirements:

• Education: Masters degree in Social Work or related field
• Clinical Licensure: Qualified candidates are required to obtain license within the first 18 months (1.5 years) of employment; PA Child Abuse Clearance required
• Required Licensure: Licensed Social Worker (LSW) Licensed Professional Counselor (LPC) Licensed Marriage and Family Therapist (LMFT) Licensed Clinical Social Worker (LCSW)

Skills:

• Strong verbal and written communication and presentation skills
• Able to read analyze and interpret utilization reports
• Understanding of mental health and substance abuse services or interventions
• Strong problem-solving skills
• Proficient in MS Office and able to type at least 20 words per minute
• Able to work collaboratively in team settings
• Strong organizational skills
• Compliant with HIPAA regulations
• Strong clinical skills
• Ability to provide clinical supervision related to complex clinical presentation of member
• Critical thinking and clinical problem solving abilities

Core Competencies:

• Teamwork and Collaboration: Build and sustain relationships with co-workers and stakeholders and support efforts and deliverables. Encourage unity and help remove barriers to productivity and success.
• Respect: Treat each other and our members and stakeholders with respect and sensitivity recognizing the importance of diversity.
• Member Centric: Focus on the needs of our members by providing value-added services promoting strong relationships and going beyond basic expectations to achieve the best possible outcomes.
• Honesty and Integrity: Be open and honest in all we do. Maintain the highest level of integrity at all times.
• Commitment to Service Excellence: Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction first-in-class service and high quality innovative programs.
• Compassion and Empathy: Demonstrate a deep appreciation for anothers situation and point of view. Pay attention to emotional cues listen effectively and show an exceptional level of caring about each persons perspectives and circumstances.
• Problem Solving: Build and implement logical solutions to resolving challenges/issues by using individual knowledge and experience while taking resources constraints and CBH values into consideration.
• Initiative and Self-Directed: Proactively manage time and resources in a way that ensures that all work is done in the most efficient manner while identifying and implementing initiatives without interventions from co-workers supervisors or stakeholders.
• Flexibility and Adaptability: Adjust approaches and behaviors in order to meet the constantly changing environment head-on and accomplish CBH and individual goals. Strive to adapt to accept and embrace change within areas of responsibility.
• Communication: Effectively and appropriately share thoughts ideas and information - both written and oral. Respectfully listen to co-workers and stakeholders to gain a full understanding of issues/situations.

Philadelphia Residency Requirement:

• The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

U.S. Authorization Requirement:

• CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

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