Clinical Care Reviewer (County Care Management Manager) Fayette County MD/ID

Full Job Description

Are you a licensed professional who is passionate about providing excellent mental health care within your community?

Fayette County Behavioral Health Administration has an immediate need for a Clinical Care Reviewer (County Care Management Manager).

Join us in our mission to enrich lives by providing choice and access to resources that encourage hope, independence, and recovery.

Apply today and advance your professional career while providing valuable services to the residents of Fayette County.

Requirements

A Clinical Care Reviewer (CCMM) gathers demographic and clinical information by telephone necessary to authorize and make appropriate referrals to consumers in need of psychiatric and behavioral services provided by a mental health professional, or in need of drug and alcohol treatment services provided by a drug and alcohol addictions professional. Duties involve providing consumers with information regarding benefits, treatment options, the managed care system, and community resources; maintaining accurate documentation of all data in automated system and client records; reviewing and evaluating the medical appropriateness of psychiatric/behavioral health and substance abuse cases and, in consultation with supervisor, rendering a certification decision.

You will have the opportunity to serve as an advocate for consumers and families; facilitating coordination of care with other care managers; completing referral and case documentation in accordance with program standards; conducting follow-up of referrals with consumers and providers of service and participating in customer service assessment activities; preparing required reports as mandated by federal, state or county policies and procedures; and participating in clinical rounds, seminars, and training sessions to maintain licensure and clinical credentials. Work is performed under the direction of an administrative supervisor and is reviewed through conferences and reports.

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:30 AM to 4:30 PM, Monday - Friday, with 30-minute lunch.
• Telework: You will not have the option to telework in this position.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
  

Qualifications

QUALIFICATIONS

Minimum Experience and Training Requirements:

• A master's degree in social work, psychology, nursing, or counseling and two years of professional mental health clinical experience; or
• 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.

Special Requirements:

• All positions require an 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 - Marriage and Family Therapist
    • 20030 - Professional Counselor
  • Psychology
    • 26001 - Psychologist
  • Nursing
    • 18001 - Registered Nurse
    • 18040 - Certified Registered Nurse Practitioner
    • 18170 - Clinical Nurse Specialist

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• Hiring preference for this vacancy may be given to candidates who live within Fayette County. If no eligible candidates who live within Fayette County apply for this position, candidates who reside in other counties may be considered.
• You must be able to perform essential job functions.

Legal Requirements:

• This position falls under the provisions of the Child Protective Services Law.
  • Under the Law, a conditional offer of employment will require submission and approval of satisfactory criminal history reports including, but not limited to, PA State Police clearance, PA Child Abuse history clearance, and FBI Fingerprint clearance.

How to Apply:

Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position.

Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.

Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

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.

All diverse candidates are encouraged to apply.

Additional Information

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).

• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.