Clinical Care Reviewer (County Care Management Manager) - Fayette County MH/ID
About The Position
Fayette County is seeking a Clinical Care Reviewer to support individuals seeking behavioral health and treatment services. The role gathers demographic and clinical information to approve and direct consumers to needed behavioral health or substance use services, and provides guidance, documentation, and coordination throughout the care process. The position works with consumers, families, service providers, and other care managers to connect people with appropriate services and support positive outcomes. This is a full-time, onsite position with work hours of 8:30 AM to 4:30 PM, Monday through Friday, with a 30-minute lunch. Telework is not available.
Requirements
- A master's degree in social work, psychology, nursing, or counseling and two years of professional mental health clinical experience; or two years of professional mental health clinical experience and an active Registered Nurse license issued by the Pennsylvania State Board of Nursing.
- An active license issued by the Pennsylvania Bureau of Professional and Occupational Affairs in an applicable area: social work, psychology, nursing, or counseling. Listed license types include Social Worker, Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Psychologist, Registered Nurse, Certified Registered Nurse Practitioner, and Clinical Nurse Specialist.
- Meet the Pennsylvania residency requirement.
- Be able to perform the essential job functions.
- Under the Child Protective Services Law, a conditional offer requires submission and approval of satisfactory criminal history reports, including Pennsylvania State Police clearance, Pennsylvania Child Abuse history clearance, and FBI Fingerprint clearance.
Responsibilities
- Collect demographic and clinical details by telephone to support service authorization.
- Provide consumers with information about benefits, treatment options, and community resources.
- Review and assess the medical appropriateness of psychiatric and substance use cases.
- Advocate for consumers and families while coordinating with other care managers.
- Maintain accurate records and complete referral documentation in accordance with program requirements.
- Follow up with consumers and service providers to ensure ongoing support.
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What This Job Offers
Job Type
Full-time
