Jobs · Healthcare · Pennsylvania

Clinical Care Manager

Community Behavioral Health · Philadelphia, PA · 1 mo ago
HealthcareInternship
We need to output HTML fragment with sections: About the role (maybe description), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. We need to parse the posting. First, we have a description: "The Clinical Care Manager (CCM) is responsible for delivering integrated, whole person care management to individuals with complex behavioral 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 based on population needs and service settings, with some responsibilities tailored to those contexts. The ideal candidate has strong clinical conceptualization skills, experience working with the Medicaid population, and is passionate about health equity for all Philadelphians." That's about the role. So we can have

About the role

with a

containing that paragraph. Next, "Essential Functions" then bullet list of duties: Utilization Management, Care Coordination, Provider Engagement & Quality Monitoring, Clinical Consultation & Team Collaboration, Documentation & Compliance, System Knowledge & Advocacy. Those are responsibilities. So we can have

Responsibilities

with
  • each bullet. We need to preserve all substantive info. The bullet points have sub-bullets? The text includes headings within essential functions: Utilization Management (UM) Review and assess service requests ... etc. Then Care Coordination ... etc. We can treat each heading as a list item with its description. We need to extract each bullet's content. Let's parse: Essential Functions Utilization Management (UM) Review and assess service requests in accordance with Medical Necessity Criteria and regulatory requirements.Actively monitor course of treatment ensuring high quality whole person care. Document UM activities in electronic systems and generate denial letters when applicable.Conduct discharge reviews and concurrent reviews as assigned.Complete UM activities within team specific productivity guidelines. Care Coordination Participate in inter-agency/team meetings, treatment planning, and crisis consultations.Facilitate member-centered collaboration with natural supports, providers, and system partners, addressing social determinants of health and other barriers.Dependent on team needs work directly in the community with members/providers 6–15 days per month. Provider Engagement & Quality Monitoring Conduct provider or stakeholder meetings (quarterly or more frequently).Monitor length of stay, progress toward treatment goals, and provider performance.Document quality concerns and collaborate with internal departments to address trends. Clinical Consultation & Team Collaboration Consult with Physician Advisors, Psychologist Advisors, and Clinical Supervisors.Participate in clinical case consultation, supervision, and department meetings.Support onboarding and department coverage as needed. Documentation & Compliance Maintain accurate and timely documentation consistent with agency and industry standards.Use data to inform clinical decisions and support provider accountability.Respond to correspondence within 24–48 hours or sooner when necessary.Maintain a daily log of work and participate in audits, reviews, or site visits.Completion of required training. System Knowledge & Advocacy Demonstrate working knowledge of behavioral health systems, service continuums, and Evidence-Based Practices (EBPs).Advocate for members to receive care in least restrictive, recovery-oriented settings.Uphold standards of customer service, family-driven care, and cultural humility. We can list each as
  • with the full text. Next: Education Position Qualifications: "Master’s degree in Social Work or related clinical field required." That's qualifications. Licensure/Certification: details. Experience: "Minimum of 3 years of direct clinical experience providing behavioral health services to children, adolescents, and/or adults. This experience can be inclusive of practicum time and clinical experience pre-master's degree. Demonstrated experience in assessment, treatment planning, and interdisciplinary care coordination.Experience providing or overseeing services and/or managed care navigation preferred." Technical Skills: "Proficient in Microsoft Office, especially Excel, and able to type at least 40 words per minute.Strong documentation and clinical writing skills." Core Competencies: list of competencies. Work Conditions: description. We Offer: list of benefits. Philadelphia Residency Requirement: must be current Philadelphia resident or become within six months. U.S. Authorization Requirement: no sponsorship. Compensation details: "65600-67100 Yearly Salary" We need sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have content for About the role, Responsibilities, Qualifications (education, licensure, experience), Skills (technical skills, core competencies maybe also part of Skills), Benefits (We Offer list), Pay (salary), Schedule? Not explicitly given. Work Conditions includes travel etc but not schedule. No schedule info. So we should not create Schedule section. We also have Requirements? Could combine qualifications and experience under Requirements? The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to decide what goes where. Likely Requirements = mandatory requirements (education, licensure, experience). Qualifications = preferred qualifications? But we can split: Requirements = mandatory (Master's degree required, licensure preferred? Actually licensure preferred but candidates without must be eligible/willing to obtain; that's still a requirement to obtain). Experience = minimum 3 years. Could put those under Requirements. Qualifications could be preferred qualifications like experience providing or overseeing services and/or managed care navigation preferred, familiarity with psychotropic medications, etc. But we also have Core Competencies which could be Skills. We need to avoid thin sections; prefer few substantive sections. But we must follow headings list if we include them. We can include About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay. That's 7 sections. We need to ensure we don't create empty sections. Let's extract content: About the role: paragraph as above. Responsibilities: list of essential functions as above. Requirements: Master’s degree in Social Work or related clinical field required. Licensure/Certification: Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) preferred. Candidates without clinical licensure must be eligible and willing to obtain full clinical licensure. If eligible for an associate license, must be obtained within 90 days of hire. Full licensure must be obtained within 18 months of hire. PA Child Abuse Clearance required. Experience: Minimum of 3 years of direct clinical experience providing behavioral health services to children, adolescents, and/or adults. This experience can be inclusive of practicum time and clinical experience pre-master's degree. Demonstrated experience in assessment, treatment planning, and interdisciplinary care coordination. We could also include "Experience providing or overseeing services and/or managed care navigation preferred." but that's preferred, maybe under Qualifications. Qualifications: Experience providing or overseeing services and/or managed care navigation preferred. Familiarity with psychotropic medications and evidenced based behavioral health interventions. (From Core Competencies). Also maybe "Strong clinical conceptualization skills, experience working with the Medicaid population, and is passionate about health equity for all Philadelphians." That's from ideal candidate earlier; could be under Qualifications. Skills: Technical Skills: Proficient in Microsoft Office, especially Excel, and able to type at least 40 words per minute. Strong documentation and clinical writing skills. Core Competencies: Excellent clinical case conceptualization and proactive planning skills. Strong facilitation skills for team meetings, trainings, and care conferences. Ability to work both independently and collaboratively across teams. Exceptional interpersonal, verbal, and written communication skills. Familiarity with psychotropic medications and evidenced based behavioral health interventions. Demonstrated flexibility, strong time management, and the ability to multi-task in a fast-paced environment. Commitment to professional ethics and compliance with HIPAA and other regulatory standards. We could combine technical skills and core competencies under Skills. Benefits: We Offer list: Family Planning, Fertility, Adoption Benefits; Flexible work hours and work from home opportunities; 403B Retirement Plan; PTO Days/Sick Days/Wellness Days; Education Assistance; Wellness Program; Employee Assistance Program; Health, Dental, Vision Insurance; Medical, Prescription Drug Insurance; Commuter Benefits; Flexible Spending. Also Philadelphia Residency Requirement and U.S. Authorization Requirement could be under Requirements? They are requirements but not typical. Could be under Requirements as additional requirements. But we already have Requirements section; we can add those as bullet points. Pay: Compensation details: 65600-67100 Yearly Salary. Schedule: none, so omit. We must not include boilerplate like EEO, accommodation request, etc. Now produce HTML fragment. We need to wrap each section in

    heading then content. For lists: use
    • for any list of duties/requirements/benefits. For prose use

      . We need to decide what is a list: Responsibilities list, Requirements maybe list, Qualifications list, Skills list, Benefits list. We'll use

        for each. Make sure to preserve all substantive info; do not invent or summarize away detail. Let's craft. About the role:

        The Clinical Care Manager (CCM) is responsible for delivering integrated, whole person care management to individuals with complex behavioral 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 based on population needs and service settings, with some responsibilities tailored to those contexts. The ideal candidate has strong clinical conceptualization skills, experience working with the Medicaid population, and is passionate about health equity for all Philadelphians.

        Responsibilities:
        • Utilization Management (UM) Review and assess service requests in accordance with Medical Necessity Criteria and regulatory requirements. Actively monitor course of treatment ensuring high quality whole person care. Document UM activities in electronic systems and generate denial letters when applicable. Conduct discharge reviews and concurrent reviews as assigned. Complete UM activities within team specific productivity guidelines.
        • Care Coordination Participate in inter-agency/team meetings, treatment planning, and crisis consultations. Facilitate member-centered collaboration with natural supports, providers, and system partners, addressing social determinants of health and other barriers. Dependent on team needs work directly in the community with members/providers 6–15 days per month.
        • Provider Engagement & Quality Monitoring Conduct provider or stakeholder meetings (quarterly or more frequently). Monitor length of stay, progress toward treatment goals, and provider performance. Document quality concerns and collaborate with internal departments to address trends.
        • Clinical Consultation & Team Collaboration Consult with Physician Advisors, Psychologist Advisors, and Clinical Supervisors. Participate in clinical case consultation, supervision, and department meetings. Support onboarding and department coverage as needed.
        • Documentation & Compliance Maintain accurate and timely documentation consistent with agency and industry standards. Use data to inform clinical decisions and support provider accountability. Respond to correspondence within 24–48 hours or sooner when necessary. Maintain a daily log of work and participate in audits, reviews, or site visits. Completion of required training.
        • System Knowledge & Advocacy Demonstrate working knowledge of behavioral health systems, service continuums, and Evidence-Based Practices (EBPs). Advocate for members to receive care in least restrictive, recovery-oriented settings. Uphold standards of customer service, family-driven care, and cultural humility.
        Requirements: Could be a list: Education, Licensure, Experience, Clearance, Residency, Work Authorization. We'll make
          items. Education: Master’s degree in Social Work or related clinical field required. Licensure/Certification: Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) preferred. Candidates without clinical licensure must be eligible and willing to obtain full clinical

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