Community Behavioral Health.
Integrated Care Plan - Clinical Care Management Specialist
10 days ago
Philadelphia
Job Description The Clinical Care Management Specialist/Integrated Care Specialist provides clinical recommendations and collaborative support to team members and physical health care staff involved in the Integrated Care Plan (ICP) Program. The Clinical Care Management Specialist reviews clinical information using a holistic care framework, makes recommendations for appropriate levels of care, creates Integrated Care Plans and coordinates services for individuals referred to the ICP team. Essential Functions: • CCMS will travel amongst the identified community partnership sites and participate in case information sharing as scheduled., • CCMS will develop a schedule with each practice site, PH MCO and CBH team staff for onsite visits to consent members for participation in the Integrated Care Plan Program, share released information with the PH MCO and discuss case recommendations with the appropriate internal staff., • CCMS will complete Integrated Care Plans as outlined by the policies and regulations of CBH and the state., • CCMS will create Integrated Care Plans for members referred from community partners, internal referrals for ICP development and for members who meet appropriate criteria for ICP planning., • During the case collaborations with sites and PH MCO’s, CCMS will provide behavioral health treatment utilization and develop care plans tailored to the individual’s current needs as part of the treatment team., • CCMS will coordinate with internal CBH staff to ensure communication and collaboration is clear and the individual’s developed care plan is carried out as such., • CCMS will participate in the problem solving process and provide information on additional community resources as needed., • CCMS will do utilization review as necessary for assigned members, implementing medical necessity criteria to inform level of care determinations., • Education: Master’s degree in Social Work or related field, • Clinical Licensure: Qualified candidates are required to obtain license within the first 18 months (1.5 years) of employment; PA Child Abuse Clearance required, • Required Licensure: Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), • Ability to work collaboratively with cross-system partners, • Excellent verbal and written communication skills and ability to interact with broad range of individuals, • Strong mediation skills, • Computer proficiency and ability to type at least 20 words per minute, • Ability to work independently in fast-paced environment, • Compliant with HIPAA regulations Work Conditions (including travel, overtime required, physical requirements and occupational exposure): • This position spends the majority of time in the field and requires travel within Philadelphia and surrounding counties., • 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., • Requires continuous, normal hearing and vision., • Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed., • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.