Clinical Coordinator

Community Behavioral Health.•Philadelphia, PA

About The Position

The Clinical Care Management Coordinator is responsible for directing the daily operations related to their respective clinical teams to ensure the standards of care and practices are being delivered in accordance with state regulation guidelines. Essential Functions: Builds and maintains a strong functional team through effective recruiting, training, performance management, coaching, team building and succession planning. Creates policy and protocols to help the Clinical Department function effectively. Performs and oversees clinical quality auditing and feedback. Monitors productivity and ensure that standards are being met. Provides regular supervision and documentation of supervision consistent with standards in the field. Participates in internal and external meetings to develop, monitor and analyze services and resources to ensure these effectively and efficiently meet the needs of members. Ensures that Clinical Care Managers have ease of access to provider sites to conduct work with members, families and providers. Accompanies Clinical Care Managers and Clinical Supervisors to community between 10 and 15% of work time to provide ongoing clinical supervision and feedback. Meets with staff to provide clinical consultation on cases. Works with Physician Advisors to ensure appropriate consultation for high risk members. Anticipates and manages response of crisis situations. Works closely with Clinical Care Management Coordinators of other teams to facilitate consistent longitudinal care management. Works collaboratively with the Quality Management Department to identify key indicators of provider stability and ensures monitoring and action to rectify any concerns. Maintains collaboration with other CBH departments to ensure intradepartmental efficiencies. Ensures interdisciplinary communication of critical member and provider related information. Obtains and reviews data relevant to members served by the team, clinical operations and staff monitoring to guide interventions. Ensures that direct reports have adequate knowledge of evidence-based practices and which evidence-based practices are offered by providers in network; makes certain that evidence-based practices are routinely discussed in supervision between Clinical Supervisors and Clinical Care Managers. Utilizes data driven decision making. Models and requires exceptional customer service in work with members and providers. Perform on-call duties as instructed. Performs other duties as assigned. Team Specific Responsibilities: Develops and oversees operations of the clinical specialty Programs Continues to develop and design care management and longitudinal care coordination approach for the team and considers opportunities for expansion and growth. Builds relationships with behavioral and physical health providers to develop protocols for communication and collaboration. Collaborates with other system partners (i.e. Community Based Organizations, PH-MCOs, DBHIDS) to address member’s Whole Person-Centered Care based on evidence-based practices. Focus on strategic targeted interventions designed to decrease readmissions and service utilization Uses data to identify members and cohorts with specific or increased community based behavioral health needs and develops protocols to ensure members are connected with appropriate supports, including Evidence Based Practices (EBPs) when possible. Collaborate closely with the Integrated Care Plan (ICP) team, as well as other teams throughout the department to promote whole-person integrated care coordination. Position Requirements: Education: Master’s degree in Social Work or related field License/Certification: License preferred; progress towards licensure within an agreed upon time frame as condition of continued employment. PA Child Abuse Clearance required. Relevant Work Experience: Minimum of 3 years of post-graduate experience with a minimum of 1 year of supervisory experience.

Requirements

Master’s degree in Social Work or related field
License preferred; progress towards licensure within an agreed upon time frame as condition of continued employment. PA Child Abuse Clearance required.
Minimum of 3 years of post-graduate experience with a minimum of 1 year of supervisory experience.
Strong verbal and written communication and presentation skills
Able to read, analyze and interpret utilization reports
Understanding of mental health and substance abuse services or interventions
Strong problem-solving skills
Proficient in MS Office and able to type at least 20 words per minute
Able to work collaboratively in team settings
Strong organizational skills
Compliant with HIPAA regulations
Strong clinical skills
Ability to provide clinical supervision related to complex clinical presentation of member
Critical thinking and clinical problem solving abilities
Requires ability to travel, including out-of-state and overnight, as needed.
Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
Ability to utilize computers and office equipment to complete daily work responsibilities.
Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
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

Builds and maintains a strong functional team through effective recruiting, training, performance management, coaching, team building and succession planning.
Creates policy and protocols to help the Clinical Department function effectively.
Performs and oversees clinical quality auditing and feedback.
Monitors productivity and ensure that standards are being met.
Provides regular supervision and documentation of supervision consistent with standards in the field.
Participates in internal and external meetings to develop, monitor and analyze services and resources to ensure these effectively and efficiently meet the needs of members.
Ensures that Clinical Care Managers have ease of access to provider sites to conduct work with members, families and providers.
Accompanies Clinical Care Managers and Clinical Supervisors to community between 10 and 15% of work time to provide ongoing clinical supervision and feedback.
Meets with staff to provide clinical consultation on cases.
Works with Physician Advisors to ensure appropriate consultation for high risk members.
Anticipates and manages response of crisis situations.
Works closely with Clinical Care Management Coordinators of other teams to facilitate consistent longitudinal care management.
Works collaboratively with the Quality Management Department to identify key indicators of provider stability and ensures monitoring and action to rectify any concerns.
Maintains collaboration with other CBH departments to ensure intradepartmental efficiencies.
Ensures interdisciplinary communication of critical member and provider related information.
Obtains and reviews data relevant to members served by the team, clinical operations and staff monitoring to guide interventions.
Ensures that direct reports have adequate knowledge of evidence-based practices and which evidence-based practices are offered by providers in network; makes certain that evidence-based practices are routinely discussed in supervision between Clinical Supervisors and Clinical Care Managers.
Utilizes data driven decision making.
Models and requires exceptional customer service in work with members and providers.
Perform on-call duties as instructed.
Performs other duties as assigned.
Develops and oversees operations of the clinical specialty Programs
Continues to develop and design care management and longitudinal care coordination approach for the team and considers opportunities for expansion and growth.
Builds relationships with behavioral and physical health providers to develop protocols for communication and collaboration.
Collaborates with other system partners (i.e. Community Based Organizations, PH-MCOs, DBHIDS) to address member’s Whole Person-Centered Care based on evidence-based practices.
Focus on strategic targeted interventions designed to decrease readmissions and service utilization
Uses data to identify members and cohorts with specific or increased community based behavioral health needs and develops protocols to ensure members are connected with appropriate supports, including Evidence Based Practices (EBPs) when possible.
Collaborate closely with the Integrated Care Plan (ICP) team, as well as other teams throughout the department to promote whole-person integrated care coordination.