Job Description

Founded in 1995,; PerformCare ® ; is a national behavioral health managed care organization that helps health plans and customers provide comprehensive behavioral health management strategies and solutions to optimize clinical outcomes, maximize efficiency, and integrate services. For more information, visit and

The PerformCare -PA Behavioral Health Clinical Care Manager (BH-CCM) is a core participant of the collaborative treatment team, including the member/family, behavioral health providers, county behavioral health service system, Physical Health (PH) - Managed Care Organization (MCO) and medical Providers when applicable. The BH-CCM approves care coordination, utilization management, and some types of case management per assigned caseload. Behavioral Health referral management, PH-BH, referrals, follow-up, authorization determinations, connection to natural/community supports including SDoH supports, and quality of care are key components of the BH CCM role.

Education/Experience:

• Master's Degree ;in Social Work, Mental Health Counseling, Psychology, and/or Nursing; required
• Pennsylvania License - LCSW, LSW, LPC, LMFT, or RN is; required
• Registered Nurse is required to have a Master's degree and two (2) years of experience in Psychiatric Adult direct practice Behavioral Health/Psychiatric direct services
• Minimum three (3) years of postgraduate clinical experience or equivalent combination of education and clinically related work experience
• Minimum one (1) year of direct practice experience in Adult Behavioral Health Service Delivery System; required
• Knowledge base in Medicaid, Medicare, and/or Commercial Managed Care Systems ;required
• Behavioral Health Utilization Management experience and/or experience in Mental Health Inpatient and/or Mental Health Partial Hospitalization preferred
• An understanding of the Pennsylvania treatment services and community services is; preferred
• An additional Substance Abuse certification is preferred

;

Your career starts now. We’re looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at; ;

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, Paid Time Off (PTO) including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.

;

#SP

;

Job Tags

Similar Jobs