Clinical Care Management Coordinator

Job Description

Job Description

The Clinical Care Management Coordinator is responsible for directing the daily operations related to their respective clinical teams to ensure the standards of care and practices are being delivered in accordance with state regulation guidelines.

Essential Functions :

• Builds and maintains a strong functional team through effective recruiting, training, performance management, coaching, team building and succession planning.
• Creates policy and protocols to help the Clinical Department function effectively.
• Performs and oversees clinical quality auditing and feedback.
• Monitors productivity and ensure that standards are being met.
• Provides regular supervision and documentation of supervision consistent with standards in the field.
• Participates in internal and external meetings to develop, monitor and analyze services and resources to ensure these effectively and efficiently meet the needs of members.
• Ensures that Clinical Care Managers have ease of access to provider sites to conduct work with members, families and providers.
• Accompanies Clinical Care Managers and Clinical Supervisors to community between 10 and 15% of work time to provide ongoing clinical supervision and feedback.
• Meets with staff to provide clinical consultation on cases.
• Works with Physician Advisors to ensure appropriate consultation for high risk members.
• Anticipates and manages response of crisis situations.
• Works closely with Clinical Care Management Coordinators of other teams to facilitate consistent longitudinal care management.
• Works collaboratively with the Quality Management Department to identify key indicators of provider stability and ensures monitoring and action to rectify any concerns.
• Maintains collaboration with other CBH departments to ensure intradepartmental efficiencies.
• Ensures interdisciplinary communication of critical member and provider related information.
• Obtains and reviews data relevant to members served by the team, clinical operations and staff monitoring to guide interventions.
• Utilizes data driven decision making.
• Ensures that direct reports have adequate knowledge of evidence-based practices and which evidence-based practices are offered by providers in network; makes certain that evidence-based practices are routinely discussed in supervision between Clinical Supervisors and Clinical Care Managers.
• Models and requires exceptional customer service in work with members and providers.
• Perform on-call duties as instructed.
• Performs other duties as assigned.

Team Specific Responsibilities :

Position Requirements :

Skills :

Leadership Competencies :

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

Philadelphia Residency Requirement :

Equal Employment Opportunity :

Requesting An Accommodation :