Behavioral Health Utilization & Care Manager

Community Behavioral Health; Philadelphia (Philadelphia County); Vor Ort; USD 66.000 - 67.000; Vollzeit

Zusammenfassung

Community Behavioral Health is seeking a Clinical Care Manager PES to oversee utilization management, assist with population management, and ensure access to medically necessary behavioral health services in the Philadelphia area.

The role requires a Master’s degree in Social Work or related field and a relevant clinical license or eligibility. You will work Monday through Friday with shift options and travel within Philadelphia as needed, contributing to quality care and service coordination.

Qualifikationen

• Master’s degree in Social Work or related field required.
• Minimum 3 years of direct clinical care experience with adults, children, or families in behavioral health.
• Licensed or eligible for LSW/LPC/LMFT/LCSW licensure within 18 months.

Aufgaben

• Be knowledgeable about behavioral health care services, system partners, service continuum and medical necessity criteria.
• Complete Utilization Management activities including interagency meetings, care coordination and treatment linkage.
• Authorize treatment when Medical Necessity Criteria is met and consult with Physician/Leadership as needed.
• Work directly with members and providers in the community and maintain timely documentation.

Kenntnisse

Clinical care

Utilization management

Communication skills

Team collaboration

Excel/MS Office

Ausbildung

Master’s degree in Social Work or related field

Jobbeschreibung

Community Behavioral Health is seeking a Clinical Care Manager PES to oversee utilization management, assist with population management, and ensure access to medically necessary behavioral health services in the Philadelphia area.

The role requires a Master’s degree in Social Work or related field and a relevant clinical license or eligibility. You will work Monday through Friday with shift options and travel within Philadelphia as needed, contributing to quality care and service coordination.