Clinical Care Management Supervisor

Job Description

Job 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.
• Serve as a role model by exemplifying professional behavior, language, skills, and attire in order to promptly and accurately serve the needs of stakeholders, members and their families.
• 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.
• Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste or abuse.
• Facilitate internal clinical meetings, Specialty Populations team meetings and external provider meetings virtually as well as on site.
• 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.
• 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 Specialty Populations Team (i.e LTSRs, EACs, RTF-As, CTT-CSL, C-EAC, IBHLTC and FIR Case management referrals)
• Ensures that Clinical care Managers coordinate with other teams including but not limited to Adult Acute team, Complex Care, 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 residential providers and other community based 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 View email address on ziprecruiter.com