Clinical Care Management Supervisor

Community Behavioral Health. • Full-time • Philadelphia, Pennsylvania, United States • 2w ago

The Clinical Care Management Supervisor is responsible for the daily supervision and oversight of clinical team members. The Clinical Care Management Supervisor is responsible for ensuring that services are authorized according to medical necessity criteria and in accordance with the CBH mission and contractual obligations.

Essential Functions:

Build and maintain a strong functional clinical team through effective recruiting, training, performance management, coaching, team building and succession planning.
Manage day to day operations of Clinical Care Managers and other direct reports.
Monitor quality and quantity of reviews and provide feedback.
Collaborate across clinical teams to facilitate and coordinate care.
Collaborate across functional areas of CBH to operationalize changes in policy and procedure.
Develops specific protocols for communication between Clinical Care Managers and other direct reports and providers.
Facilitate internal clinical meetings and external provider meetings.
Accompanies Clinical Care Managers and other direct reports into the community between 15 and 25% of work time to provide ongoing clinical supervision and feedback.
Uses data driven decision making and works to ensure accuracy of member level data and timely communication of data.
Collaborates with other Clinical Supervisors to develop consistent expectations and supervision to Clinical Staff.
Obtains and reviews data relevant to members served by the team, clinical operations and staff monitoring to guide interventions.
Models and requires exceptional customer service in work with members and providers.
Documents supervision notes and next steps consistent with standards in the field.
Perform on-call duties as instructed.
Completes other duties as assigned.

Team Specific Responsibilities:

Over seesoperations of Clinical Care Managers and other direct reports of the Psychiatric Emergency Service (PES) Line completing prior authorization for non-ambulatory levels of care.
Ensures that team shares relevant clinical information with providers to help inform recommendations.
Ensures that team assists providers with care coordination and member placement as needed.
Ensures that the Crisis Line team coordinates with other teams to ensure that longitudinal care is promoted and not disrupted.
Ensure minimal staffing requirements are met and monitors received request, to distribute or request additional staffing support.
Complete required Quality Monitoring Audit Tools (QMat) as assigned

Position Requirements:

Education: Master's degree in social work or related field
License/Certification: License preferred; PA Child Abuse Clearance required
Relevant Work Experience: 3 years post graduate experience with a minimum of 6 months of supervisory experience.
Skills:
Ability to positively lead a team
Strong communication skills
Strong organizational skills
Ability to multi-task in fast-paced environment
Proficient in MS Office and able to type at least 20 words per minute
Compliant with HIPAA regulations

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 CBH.Recruitment@Phila.gov

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