Clinical Care Management Coordinator

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.

• 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:

• Oversees daily operations of the Adult Utilization Management Team including review of care for members in bed based treatment (i.e. Residential Treatment for Adults with substance use diagnoses). Ensures that team reviews all case by or before the last covered day.
• Implements protocols to ensure that Clinical Care Managers require appropriate risk assessment of members by providers.
• 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.
• Ensures that Clinical Care Managers take active role in the discharge planning process for members in bed based levels of care.
• Meets with providers to ensure collaboration and awareness of protocols.
• Participates in provider forum planning and presentations
• Participates in initiatives with external stakeholders as assigned
• Develops staff training as needed
• Provides oversight of staff training as needed

Position Requirements:

• Education: Master’s degree in Social Work or related field
• License/Certification: License preferred; progress towards licensure within an agreed upon time frame as condition of continued employment.
• 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.

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

Leadership Competencies:

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  Strategic Thinking : Understand and integrate the long-term vision of CBH and focus current activities on what is critical to achieve future success including formulating objectives/priorities and developing and implementing breakthrough ideas.

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  Leadership : Effectively manage and guide efforts to address challenges and drive continuous improvement for CBH’s programs, services and processes. Develop and implement effective strategies and appropriate interpersonal styles to influence and guide others.

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  Employee Development : 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.
• Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
• Ability to utilize computers and office equipment to complete daily work responsibilities.
• Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
• Must be able to adapt to continuous changes/demands of the job.

Philadelphia Residency Requirement:

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

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 [email protected]