. The Behavioral Health Liaison supports CBH Clinical Care Managers in the proper procurement of behavioral health services of CBH members. The Behavioral Health Liaison supports the community-based care management team by ensuring members are linked to behavioral health services and supports, meeting and talking with members about their behavioral health services and coordinating care, as well as supporting the team administratively and organiza...
Job Title. Utilization Manager. Job Status. Full-Time or Part-Time. Accountable to. Chief Executive Officer. Purpose. The Utilization Manager (UM) is responsible for the authorization, quality and organization of services providing to clients. These standards are met by analyzing documents, charts and files, systemizing operational procedures and monitoring the delivery of services. The Utilization Manager ensures all clients are provided complet...
The IBHS Clinical Care Manager – BCBA serves as a care manager within CBH’s Neurodevelopmental Services team, responsible for ensuring members with Autism Spectrum and related neurodevelopmental disorders receive timely, evidence-based, and outcome-driven behavioral health services. This role combines utilization and population management, provider engagement, treatment quality monitoring, and cross-system collaboration to promote high-quality, c...
The Clinical Care Manager (CCM) is responsible for delivering integrated, person - centered care management to individuals with complex behavioral and physical health needs. The CCM facilitates care coordination across multiple systems, ensures timely utilization management (UM) activities, and promotes collaboration between providers, members, and support systems to improve health outcomes. Clinical Care Managers are assigned to specific teams b...
Position Summary. The Chief Information Officer (CIO) serves as a visionary and strategic leader responsible for aligning technology with enterprise goals to advance the mission of improving behavioral health outcomes. As a key member of the CBH executive leadership team, the CIO will drive digital transformation, data-driven decision-making, and operational excellence across the organization. . The CIO will act as a strategic business partner, l...
Position Overview. CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. . The mission of. CBH Denials Specialist. is to oversee all aspects of the denial process for Clinical Management and Medical Affairs. This includes daily review of all insufficient denial notices. The Denials Specialist will also participate in grievance hearings as the clinica...
Job Summary. Are you an inclusive, compassionate. Office Manager. looking for a rewarding role to put your exceptional skills to good. Our business is built on skilled, caring medical professionals dedicated to helping others and treating the underserved. We value and appreciate our staff and firmly believe that the best way to take care of our patients is to take excellent care of our team members. Enjoy competitive benefits, a dynamic, collabor...
. Position Overview. The Deputy Chief Medical Officer (DCMO) provides executive-level clinical and operational leadership to ensure high-quality, cost-effective, and culturally competent care delivery for Philadelphia’s behavioral health Medicaid members. Serving as a key partner to the Chief Medical Officer, the DCMO has primary responsibility for comprehensive clinical oversight, including quality of care, safety, clinical effectiveness, and me...
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 indicat...
The Quality Management Supervisor is responsible for the daily supervision and oversight of quality management team members, and is responsible for all aspects of provider monitoring. Essential Functions. Build and maintain a strong functional clinical team through effective recruiting, training, performance management, coaching, team building and succession planning. Provide daily technical and clinical oversight in "screen seven", validity of s...
The Quality Management Team Leader is responsible for providing support to the Provider Monitoring and Complaint and Grievances Units in the Quality Management Department. This includes assisting in processing grievances and complaints, addressing quality of care concerns and supporting team members. Essential Functions. Completion of Provider Monitoring and Complaint and Grievance Reports. Complete complaint investigations and applicable letters...
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 indicat...
