Behavioral Health Utilization & Care Manager

Community Behavioral Health; Philadelphia (Philadelphia County); On-site; USD 66,000 - 67,000; Full time

Job summary

Community Behavioral Health seeks a Clinical Care Manager PES in Philadelphia to lead utilization management activities and ensure medically necessary behavioral health services are accessed timely. You will work with physicians, psychologists, and care teams to authorize treatment and monitor outcomes.

The role requires an MSW, relevant clinical licensure within 2 years, and active collaboration with CBH teams to coordinate care and address social determinants impacting member outcomes.

Qualifications

• Master’s degree in Social Work or related field required.
• Must obtain a state license within 2 years of employment; LSW must be obtained by 9 months.
• Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) required.

Responsibilities

• Conduct utilization management activities and reviews.
• Coordinate care and treatment with members, providers, and partners.
• Consult with Physician Advisor and Psychologist Advisor as clinically appropriate.
• Generate necessary letters and documentation per regulations.
• Maintain daily logs and participate in team meetings and supervision.
• Provide care coordination addressing social determinants and barriers to care.

Skills

Excellent clinical case conceptualiz

Meeting facilitation

Education

Master’s degree in Social Work or related field

Licensed Social Worker (LSW)

Licensed Professional Counselor (LPC)

Licensed Marriage and Family Therapist (LMFT)

Licensed Clinical Social Worker (LCSW)

Job description

Community Behavioral Health seeks a Clinical Care Manager PES in Philadelphia to lead utilization management activities and ensure medically necessary behavioral health services are accessed timely. You will work with physicians, psychologists, and care teams to authorize treatment and monitor outcomes.

The role requires an MSW, relevant clinical licensure within 2 years, and active collaboration with CBH teams to coordinate care and address social determinants impacting member outcomes.