Skills

Administrative Skillsunmatched

Behavioral Healthunmatched

Case Managementunmatched

Clinical Competencyunmatched

Clinical Medicineunmatched

Coachingunmatched

Communication Skillsunmatched

Communications Protocolsunmatched

Contract Requirementsunmatched

Customer Service Evaluationunmatched

Customer Support/Serviceunmatched

Data Qualityunmatched

Document Managementunmatched

Equal Employment Opportunity (EEO)unmatched

Establish Prioritiesunmatched

Flash Video (FLV)unmatched

HIPAA (Health Insurance Portability and Accountability Act)unmatched

Healthcareunmatched

Interpersonal Skillsunmatched

Intrusion Detection Systemsunmatched

Leadershipunmatched

Licensed Clinical Social Worker (LCSW)unmatched

Licensed Marriage and Family Therapist (LMFT)unmatched

Medicationsunmatched

Microsoft Officeunmatched

Multitaskingunmatched

Office Equipmentunmatched

Operationsunmatched

Organizational Skillsunmatched

People Managementunmatched

Performance Managementunmatched

Physical Demandsunmatched

Presentation/Verbal Skillsunmatched

Quality Monitoringunmatched

Regulationsunmatched

Social Workunmatched

Succession Planningunmatched

Team Buildingunmatched

Team Lead/Managerunmatched

Team Playerunmatched

Time Managementunmatched

Willing to Travelunmatched

Writing Skillsunmatched

Description

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.
Be knowledgeable about behavioral health care services, system partners, service continuum and established medical necessity criteria and apply that knowledge in all work activities
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.
Attend all meetings as assigned and actively prepare for and participation in supervision and clinical case consultations.
Ensure highest quality of customer service when interacting with members, providers, and other stakeholders.
Participate in grievance hearings as assigned.
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 into the community to provide ongoing clinical supervision and feedback as needed.
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.
Completes other duties as assigned.

Team Specific Responsibilities:

Oversees daily operations of Clinical Care Managers of the Adult Complex Care Team (i.e JOH ASAM 3.5 providers, Mother and child ASAM 3.5, identified Complex members).
Ensures that Clinical Care Managers coordinate with other teams including but not limited to Adult Acute team, ASAM team, IDS, DBHIDS, to ensure that longitudinal care is promoted and not disrupted.
Ensure that Clinical Care Managers are reviewing cases and identifying appropriate immediate and longitudinal needs of members with complex needs.
Oversees implementation of population stratification approaches.
Works collaboratively with physical health entities to ensure smooth referral and communication process.

Position Requirements:

Education: Master’s degree in Social Work or related field
License/Certification: License required; PA Child Abuse Clearance required
Licensure: Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW)
Relevant Work Experience: 3 years post graduate experience with a minimum of 6 months of supervisory experience.
Excellent time management and prioritization skills and ability to multi-task

Skills:

Excellent clinical case conceptualization skills
Meeting facilitation
Proactive planning
Customer service
Familiar with medications
Excellent verbal and written communication skills and ability to use them when communicating with internal and external stakeholders.
Excellent interpersonal and collaboration 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

Work Conditions (including travel, overtime required, physical requirements and occupational exposure):

Must be able to travel within Philadelphia and surrounding counties.
Requires ability work off-site 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
CBH.Recruitment@Phila.gov

PI515f4b8f6837-37456-41161447

About Company

Community Behavioral Health (CBH) is a not-for-profit 501c (3) corporation contracted by the City of Philadelphia to provide mental health and substance abuse services for Philadelphia County Medicaid recipients.

Supported through state funding, CBH works in partnership with the City of Philadelphia and the Commonwealth of Pennsylvania to provide vital behavioral health services. Today, CBH is responsible for providing behavioral health coverage for the City’s 420,000 Medicaid recipients. Its primary activities include:

Authorizing payment for behavioral health services
Requiring provider agencies to deliver effective and medically necessary services
Achieving management and operational efficiencies to lower healthcare costs

CBH is located in Philadelphia’s historic center city district. We offer competitive salaries and liberal benefit package, including:

403(b) with 8% company match
Medical HMO & HNO, Dental, Vision, and Pre ion Drug coverage, with low co-pays
Basic and Supplemental Life & AD&D
Generous paid time off, including holidays, vacation, personal and sick days
Long-Term Disability
Tuition Reimbursement
Employee Assistance Program
Transit Program
Company Wellness Program
Retiree Health Care

Most importantly, we offer an opportunity for dedicated professionals to have an immediate impact in the lives of the people we serve. Please review our web site at www.phila.gov/dbhids for more information about our company and to apply for positions.

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