Clinical Care Manager - Integrated Care

Job Description

Job Description

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 based on population needs and service settings, with some responsibilities tailored to those contexts.

Essential Functions

• Deliver longitudinal, integrated care management for assigned members across levels of care and systems.
• Apply knowledge of behavioral health systems, service continuums, and medical necessity criteria in all clinical and administrative activities.
• Collaborate with members, natural supports, and providers in homes, communities, hospitals, ASAM Rehabs, and virtual environments.
• Address social determinants of health and barriers to care using an intergenerational and cross-systems approach.
• Ensure Providers are using Evidence-based Practices in treatment planning for members.
• Use evidence-based practices to connect members to appropriate behavioral health and physical health treatments.

Utilization Management (UM) :

Collaboration & Stakeholder Engagement :

Documentation & Compliance :

Teamwork & Professional Development :

Team - Specific Functions

Community Based Care Management Team

Position Qualifications

Education :

Licensure :

Experience :

Core Skills & Competencies :

Work Conditions (including travel, overtime required, physical requirements and occupational exposure) :

We Offer :

Applications will be considered on a rolling basis and decisions will be made as soon as appropriate candidates are identified

Philadelphia Residency Requirement :

U.S. Authorization Requirement :

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex / gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

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.