Clinical Care Reviewer (County Care Management Manager, Local Government) - Fayette County MH/ID
Commonwealth of Pennsylvania
THE POSITION Step into a role where your clinical expertise fuels meaningful change! Fayette County Behavioral Health Administration has an immediate opening for a Clinical Care Reviewer. In this role, you will have the opportunity to support individuals in need of psychiatric, behavioral health, as well as drug and alcohol treatment services. Join us in our mission of enriching lives by providing choice and access to resources that encourage hope, independent, and recovery! DESCRIPTION OF WORK As a Clinical Care Reviewer, you will be responsible for gathering clinical information, providing guidance on available services, and helping consumers connect with needed support. In this role, you will perform the following duties: Information Gathering: Collect demographic and clinical details by telephone to support accurate authorization and referral decisions Service Education: Explain benefits, treatment options, community resources, and the managed care system to consumers Case Review: Evaluate psychiatric and substance use cases and consult with supervisors when making certification decisions Care Coordination: Work with families, providers, and other care managers to support continuity of behavioral health services Record Maintenance: Document all required information in automated systems and client records according to program standards Program Participation: Join rounds, seminars, and training sessions to maintain required knowledge and credentials Work Schedule and Additional Information: Full-time employment Work hours are 8:30 AM to 4:30 PM, Monday - Friday, with a 30-minute lunch. Telework: You will not have the option to telework in this position. Salary:In some cases, the starting salary may be non‑negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices. Required Experience, Training & Eligibility QUALIFICATIONS Minimum Experience and Training Requirements: Two years of professional mental health clinical experience and possession of an active license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or A master's degree in social work, psychology, nursing, or counseling and two years of professional mental health clinical experience. Special Requirements: This position requires an active license issued by the Pennsylvania Bureau of Professional and Occupational Affairs in one of the following areas: Social Work 20001-Social Worker 20010-Clinical Social Worker 20020-Marrage and Family Therapist 20030-Professional Counselor Psychology 26001-Psychologist Nursing 18001-Registered Nurse 18040-Certified Registered Nurse Practitioner 18170-Clinical Nurse Specialist Other Requirements: You must meet the PA residency requirement . For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines. Hiring preference for this vacancy may be given to candidates who live within Fayette County. If no eligible candidates who live within Fayette County apply for this position, candidates who reside in other counties may be considered. You must be able to perform essential job functions. Legal Requirements: This position falls under the provisions of the Child Protective Services Law. Under the Law, a conditional offer of employment will require submission and approval of satisfactory criminal history reports including, but not limited to, PA State Police clearance, PA Child Abuse history clearance, and FBI Fingerprint clearance. Veterans: Pennsylvania law (51 Pa. C.S. 7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to and click on Veterans. Telecommunications Relay Service (TRS): 711 (hearing and speech disabilities or other individuals). If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date. The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply. EXAMINATION INFORMATION Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam). Your score is based on the detailed information you provide on your application and in response to the supplemental questions. Your score is valid for this specific posting only. You must provide complete and accurate information or: your score may be lower than deserved. you may be disqualified. You may only apply/test once for this posting. Your results will be provided via email. #J-18808-Ljbffr Commonwealth of Pennsylvania
- At the Lackawanna County Department of Aging, we are hiring an Aging Care Manager 1. This role is trained to conduct Protective Service assessments and investigations... ...veterans for appointment to many state and local government jobs. To learn more about employment...SuggestedFull timeLocal areaRemote workWork from homeMonday to Friday
- ...want to hear from you! The Schuylkill County Office of Senior Services is searching... ...candidates to join our team as Aging Care Manager 2s. We provide training and team support... ...for appointment to many state and local government jobs. To learn more about employment preferences...SuggestedFull timeInternshipWork at officeLocal areaRemote workMonday to FridayNight shift
$39.78 - $42.36 per hour
Care Coordinator, Gloucester County and surrounding area Full time (35 hours/week) ESSENTIAL DUTIES AND RESPONSIBILITIES Responsible for providing... ...patient/ family regarding available services and self-management. Work with patients and families to set appropriate...SuggestedFull timeTemporary work- This position is for New Castle County Successful candidates will have the ability to effectively engage with youth, families and professionals... ...organizational skills and detail oriented, with good time management skills. Ability to work independently and as part of a team....SuggestedWork at office
$80k - $85k
Complete Care Management in Bergen County, NJ is seeking a Social Worker Director to lead psychosocial assessments and collaborate with an interdisciplinary team. This full-time leadership role offers a structured environment and a measurable impact on resident well-being...SuggestedFull time$80k - $91.5k
...accommodation or an alternative application process. RN Case Manager - Home Visits Madison County Full Time Professional Madison County NY - East,... ...Responsibilities The RN Case Manager will a dminister skilled nursing care to patients requiring professional nursing service. Teach...Full timeFlexible hours$85.25k
About Us Ennoble Care is a mobile primary care, palliative... ..., behavioral health management, and chronic care... ...the Gloucester / Camden County, NJ region. As a member... ...Hospice nursing staff to review problems or unique... ...and Federal bodies which govern hospice Accept other assignments...Full timeTemporary workWork at officeRemote workVisa sponsorshipFlexible hours- 24 Hour Home Care NJ is seeking experienced registered nurses to supervise certified home health aides serving Somerset County, New Jersey. Responsibilities include in-home patient assessments... ...visits, family communication, and clinical on-call support. Flexible scheduling...Daily paidFull timeFlexible hours
$23.5 - $24.5 per hour
...Paid Holidays Affordable health care coverage including health,... ...4.50 Hourly Summary The Care Manager’s role is to work in partnership... ...to identify an individual’s clinical and psychosocial needs, choices... ...applicable federal, state, or local law. Prime Care Coordination will...Hourly payWork at officeLocal areaRemote work$190.2k - $372k
...transformation - and health care. In this role, you... ...for a senior manager to be a part of... ...subject to the rules governing the program, whereby... ...state and local laws, including the Los Angeles County Fair Chance Ordinance... ...code: 360816 Job ID 360816 Strategy...Local areaVisa sponsorship- THE POSITION Allegheny County Department of Human Services, Area... ...the agency. As an Aging Care Management Supervisor 3, you will perform... ...quality Regulation Review: Interpret complex regulations... ...appointment to many state and local government jobs. To learn more about...Full timePart timeWork at officeLocal areaRemote workWork from homeMonday to Friday2 days per week
- York County Government is seeking a professional to coordinate complex case planning for individuals in the ID/A program and assist with QA&I activities required by the Office of Developmental Programs. The role involves partnering with the supports coordination team, medical...Work at office
$54k - $87k
...best talent for a Clinical Sales Specialist located in Nassau County, NY territory. About... ...advance patient care while delivering... ...of surgical cases, management of billing/purchase... ...federal, state or local law. We actively... ...employment would be governed by DePuy Synthes...Local areaWorldwideRelocationNight shift$24.25 - $34 per hour
...Job Overview: The role of the Care Manager is to work collaboratively with individuals with intellectual/developmental disabilities, their... ...on the right path to meet their person-centered outcomes. Tri-County Care supports members of all ages – this may include...Remote workFlexible hours$90k - $120k
Care Manager II - up to 19 hours/week Salary Range: $90,0... ...Mercy who reside in the local area and surrounding... ...Island- Nassau/Suffolk counties. Essential Duties and... ...and coordination of government healthcare benefits, medical... ...services. Provide clinical oversight and...For contractorsLocal areaFlexible hours$56.2k - $101k
Position Overview Centene is looking for a Care Management Specialist to work with our 28 million... ...side effects, complications, and clinical symptoms, providing recommendations based... ...be considered in accordance with the LA County Ordinance and the California Fair Chance...Contract workWork at officeRemote workFlexible hours$21.6 - $46.81 per hour
Job Summary Provides support for care management/care coordination long‑term services and supports... ...motivational interviewing and Molina clinical guideposts to educate, support and... ...needed or required. 25‑40% estimated local travel may be required (based upon state...Hourly payContract workWork experience placementWork at officeLocal area$52k
...serviced in Morris, Sussex, and Passaic Counties) FT 40 hours: Monday-Friday Salary : $52... ...LTD coverage Job Summary: As one of the Care Managers on the team, you will work alongside practitioners... ...advisory councils/boards within their local community/area of service to gather...Hourly payLocal areaImmediate startMonday to Friday- ...PURPOSE OF THE POSITION : The Care Managers service those who are... ...throughout Suffolk and Nassau Counties and select boroughs of New York... ...‑Term Disability Insurance Clinical supervision hours for LMSW licensure... ...further information, please review the Know Your Rights notice...Temporary workWork at officeFlexible hours
$23 - $26.37 per hour
...Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a full-time Care Manager to join our team at the Manhattan Health Home... ...for written individualized care plans. Reviews patient intake assessments and uses results to...Hourly payFull timeRelocation package$48k - $55k
...alternative application process. Case Manager Req 5119 Full Time Clerical... ...NY, US 3 days ago Requisition ID: 5119 Salary Range: $48,000.00... ...York City and its adjacent counties via public transportation... ...protected by federal, state, or local law. If you require reasonable...Full timeContract workWork at officeLocal area$23 - $26.37 per hour
...Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a full-time Care Manager to join our team at Townsend site located in... ...family for written individualized care plans. Reviews patient intake assessments and uses results to...Hourly payFull time- Centene is seeking a skilled care management professional to support behavioral health needs for members in New Jersey... ...to services. Remote/hybrid options available with up to 50% local travel within Passaic and Sussex Counties. #J-18808-Ljbffr Fidelis Care - New JerseyRemote jobLocal area
- ...Corporation seeks a professional to develop and oversee complex care management for behavioral health needs. You will work remotely with up to 50% local travel, serving members in Passaic and Sussex Counties, NJ. Must hold NJ license and a relevant master\'s degree with...Remote jobLocal area
$47.4k - $62.4k
Field Care Coordinator (FCC) - Healthfirst Care Management As a valuable member of... ...for conducting local home visits for... ...Care Manager or Clinical Eligibility Nurse... ...Island, Orange County, and... ...driver's license or ID Benefits Medical... ...Services will be reviewed at the e‑mail address...Temporary workWork experience placementWork at officeLocal area- JOB DESCRIPTION: Blended Case Manager Join a Team Where Purpose Meets... ...to residents of Lower Bucks County for over 50 years. What we value... ...years of mental health direct care experience in public or... ...through, but not limited to, MH programs, DPA, group homes, hospitals...Full timeWork at office1 day per week
$26 - $31.13 per hour
...2 days ago Requisition ID: 5130 Salary Range: $26... ...services to include case management, public benefits... ...comprehensive service plans. Review all documentation to... ...City and its adjacent counties via public transportation... ...by federal, state, or local law. #J-18808-Ljbffr BronxWorksHourly payFull timeWork at officeLocal areaWork from homeRelocationMonday to FridayFlexible hours1 day per week$80k - $95k
...Operations. Drive Excellence. Improve Participant Care. What You'll Do Coordinate the day-to-day... ...with site leadership and department managers to optimize workflows, operational... ...Westchester, Nassau, and Western Suffolk Counties. Designed for those with Medicare and/or...Monday to FridayFlexible hours- Centene is seeking a Care Manager (Behavioral Health) to develop, assess, and facilitate complex care management activities... ...needs. Remote work with residency in Passaic/Sussex counties, NJ is required, with up to 50% local travel. The role involves evaluating needs via phone...Remote jobLocal area
$54k - $87k
Clinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson MedTech - Orthopaedics - New York, NY (Johnson & Johnson) Johnson & Johnson is hiring: Clinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson MedTech - Orthopaedics —...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Care Reviewer (County Care Management Manager, Local Government) - Fayette County MH/ID. Be the first to apply!
- clinical medical assistant New York, NY
- clinical documentation specialist rn New York, NY
- medical records administrator New York, NY
- medical records reviewer New York, NY
- health records assistant New York, NY
- remote clinical documentation specialist New York, NY
- medical record assistant New York, NY
- clinical reviewer New York, NY
- medical records reviewer remote New York, NY
- medical records clerk part time New York, NY


