Clinical Care Management Team Leader

Company: Community Behavioral Health.
Location: Philadelphia
Posted on: June 25, 2022

Job Description:

The Team Leader is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring. The Team Leader must utilize clinical knowledge of best practices and evidence based treatments to ensure CBH members receive timely access to quality, medically necessary behavioral health services. When clinically indicated, Team Leaders consult with CBH Physician and Psychologist Advisors to ensure the most effective treatment for the CBH member is being authorized. Essential Functions: Provides leadership to the team in conjunction with or in the absence of the team Supervisor. Completes essential functions of a Clinical Care Manager.Trains and orients new Clinical Care Managers, CBH Staff and Visiting Professionals.Creates and maintains team documents which may include schedules, routine data collection and team organizational tools.Makes grievance assignments; notify outcomes of grievances and other administrative tasks.Consults with physicians regarding denials, length of stay and psychiatric evaluations.Meets with other team leaders and collaborate with different systems and agencies via telephone, email and in meetings.Participates in interviews for new hires.Team Specific Responsibilities:Manage and coordinate care by conducting telephonic and on-site reviews, obtaining clinical information to determine medical necessity for authorization of care and helping to guide aftercare planning and reviewing evaluations. Meet with other team leaders and collaborate with different systems and agencies via telephone, email and in meetings.Position Requirements: Education: Master's degree in Social Work or related field or Registered NurseLicense/Certification: License eligible and willing/able to obtain licensure within the first year of employment; PA Child Abuse Clearance requiredRelevant Work Experience: Minimum of 2 years of post-graduate, direct clinical care experience working with adults, children, adolescents and their families in behavioral health settings and experience in assessment and treatment planning Skills:Excellent clinical case conceptualization skillsMeeting facilitationProactive planningCustomer serviceFamiliar with medicationsExcellent verbal and written communication skills and ability to use them when communicating with internal and external stakeholders. Excellent interpersonal and collaboration skillsProficient in MS Office, especially with Excel, and able to type at least 40 words per minuteAbility to work independently and as part of a teamExcellent time management and prioritization skills and ability to multi-taskCompliant with HIPAA regulations Equal Employment Opportunity: CBH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, gender identity, sexual orientation, individual genetic information or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.Americans with Disabilities Act: Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. CBH will determine reasonable accommodation on a case-by-case basis in accordance with applicable law. PI183200381

Keywords: Community Behavioral Health., Philadelphia , Clinical Care Management Team Leader, Hospitality & Tourism , Philadelphia, Pennsylvania