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The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence-based treatments to ensure CBH members receive timely access to quality, medically necessary behavioral health services. When clinically indicated, Clinical Care Managers consult with CBH Physician and Psychologist Advisors to ensure the most effective treatment for the CBH member is being authorized. The Clinical Care Manager will work to enhance physical and behavioral health care coordination and assist with mitigating social determinants of health (SDOH).
This position requires full time on site work at St. Christopher's Hospital [160 E Erie Ave., Philadelphia PA 19134]
Essential Functions:
Team Specific Responsibilities:
Position Requirements:
Equal Employment Opportunity: CBH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, gender identity, sexual orientation, individual genetic information or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.
Americans with Disabilities Act: Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. CBH will determine reasonable accommodation on a case-by-case basis in accordance with applicable law.
Full Time
Social & Legal Services
$98k-122k (estimate)
04/05/2024
06/04/2024
community-first.org
HAMILTON, OH
200 - 500
1998
LAURA SHEEHAN
$10M - $50M
Social & Legal Services