Clinical Care Reviewer (County Care Management Manager, Local Government) - Fayette County MH/ID

Commonwealth of Pennsylvania • Fayette County, PA

7d • Onsite

About The Position

Step into a role where your clinical expertise fuels meaningful change! Fayette County Behavioral Health Administration has an immediate opening for a Clinical Care Reviewer. In this role, you will have the opportunity to support individuals in need of psychiatric, behavioral health, as well as drug and alcohol treatment services. Join us in our mission of enriching lives by providing choice and access to resources that encourage hope, independent, and recovery!

Requirements

• Two years of professional mental health clinical experience and possession of an active license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or A master's degree in social work, psychology, nursing, or counseling and two years of professional mental health clinical experience.
• Active license issued by the Pennsylvania Bureau of Professional and Occupational Affairs in one of the following areas: Social Work (20001-Social Worker, 20010-Clinical Social Worker, 20020-Marrage and Family Therapist, 20030-Professional Counselor), Psychology (26001-Psychologist), Nursing (18001-Registered Nurse, 18040-Certified Registered Nurse Practitioner, 18170-Clinical Nurse Specialist).
• Meet the PA residency requirement.
• Must be able to perform essential job functions.
• Satisfactory criminal history reports including, but not limited to, PA State Police clearance, PA Child Abuse history clearance, and FBI Fingerprint clearance.

Nice To Haves

• Hiring preference for this vacancy may be given to candidates who live within Fayette County.

Responsibilities

• Collect demographic and clinical details by telephone to support accurate authorization and referral decisions
• Explain benefits, treatment options, community resources, and the managed care system to consumers
• Evaluate psychiatric and substance use cases and consult with supervisors when making certification decisions
• Work with families, providers, and other care managers to support continuity of behavioral health services
• Document all required information in automated systems and client records according to program standards
• Join rounds, seminars, and training sessions to maintain required knowledge and credentials

Benefits

• The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce.
• The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania.
• The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level