Clinical Care Management Supervisor

Community Behavioral Health.•Philadelphia, PA

7h•Hybrid

About The Position

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.

Requirements

Master’s degree in Social Work or related field
License required; PA Child Abuse Clearance required
Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW)
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
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
Must be able to travel within Philadelphia and surrounding counties.
Requires ability work off-site as needed
Ability to utilize computers and office equipment to complete daily work responsibilities.
Must be able to adapt to continuous changes/demands of the job.
The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

Responsibilities

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.
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.