Clinical Care Reviewer (County Care Management Manager) (Local Government) - Fayette County MH/ID

Are you an innovative thinker with a strong attention to detail and a passion for serving those in your community? If so, Fayette County Behavioral Health Administration wants to meet you! We are excited to welcome a County Care Management Manager to take on the role of Clinical Care Reviewer to connect our valued residents with a wide-range of vital services. Join us in our mission to enrich lives by providing choice and access to resources that encourage hope, independence, and recovery!

As a Clinical Care Reviewer, you will gather necessary demographic and clinical information by telephone in order to authorize and make appropriate referrals for 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 the automated system and client records; reviewing and evaluating the medical appropriateness of psychiatric and/or behavioral health and substance abuse cases and, in consultation with supervisor, rendering a certification decision.

Additional responsibilities involve serving as an advocate for consumers and families, facilitating coordination of care with other Clinical Care Reviewers, and completing referral and case documentation in accordance with program standards. You will conduct follow-up on referrals with consumers and providers of service, participate in customer service assessment activities, and prepare required reports as mandated by federal, state, or county policies and procedures. This position also involves participation 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 a 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

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:

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:

Telecommunications Relay Service (TRS):

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.

• 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.