Clinical Manager

Job Description

Job Description

JOB SUMMARY

The Behavioral Health (BH) Clinical Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for members through assessment and member-centered care planning, direct provider coordination / collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Evaluate and complete annual comprehensive assessments; required supervisory forms; client treatment plans every 180 days; and client crisis assessments.
• Request ongoing authorization for Community Psychiatric Support Treatment and Psychosocial Rehabilitative Support.
• Monitor key performance indicators; completion of 90 Day Progress Summary Report; required performance standards; and file compliance (including annual documents and performance evaluations).
• Facilitate clinical staff meetings; team training; interviews and onboarding process for new staff; training for new hires.
• Review and approve case notes, time sheets, and mileage reimbursement.
• Provide training and implementation of managed care or VOASELA requirements.
• Interface as liaison between managed care organizations; agency leadership; employees with support for professional development; and supervision to non-licensed staff.
• Manage day-to-day program operations; and manage / operate within fiscal budget.
• Develop corrective action plans; system improvements; and develop / participate in celebration initiatives.
• Implement professional development goals and promote sustained business growth.
• Participate in On Call rotation.
• Perform other duties as required.

ADDITIONAL DUTIES AND RESPONSIBILITIES (Non-essential)

SUPERVISORY DUTIES :

KEY CONTACTS

Maintains critical relationships with the following :

KNOWLEDGE, SKILLS AND ABILITIES :

This position requires knowledge, skills and abilities equivalent to :

Travel to other locations as appropriate in the performance of duties and responsibilities. Must have :

PHYSICAL REQUIREMENTS :

W employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.