Clinical Care Manager

Community Behavioral Health

Clinical Care Manager providing integrated behavioral health coordination for individuals in need. Ensuring high-quality management and facilitating collaboration across multiple service systems to improve health outcomes.

Posted 5/14/2026full-timePhiladelphia • Pennsylvania • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

The Clinical Care Manager (CCM) is responsible for delivering integrated, whole person care management to individuals with complex behavioral 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.
Utilization Management (UM): Review and assess service requests in accordance with Medical Necessity Criteria and regulatory requirements. Actively monitor course of treatment ensuring high quality whole person care. Document UM activities in electronic systems and generate denial letters when applicable. Conduct discharge reviews and concurrent reviews as assigned. Complete UM activities within team specific productivity guidelines.
Care Coordination: Participate in inter-agency/team meetings, treatment planning, and crisis consultations. Facilitate member-centered collaboration with natural supports, providers, and system partners, addressing social determinants of health and other barriers. Dependent on team needs work directly in the community with members/providers 6–15 days per month.
Provider Engagement & Quality Monitoring: Conduct provider or stakeholder meetings (quarterly or more frequently). Monitor length of stay, progress toward treatment goals, and provider performance. Document quality concerns and collaborate with internal departments to address trends.

Requirements

What you’ll need

Master’s degree in Social Work or related clinical field required.
Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) preferred.
Candidates without clinical licensure must be eligible and willing to obtain full clinical licensure.
If eligible for an associate license, must be obtained within 90 days of hire.
Full licensure must be obtained within 18 months of hire.
PA Child Abuse Clearance required.
Minimum of 3 years of direct clinical experience providing behavioral health services to children, adolescents, and/or adults.
Demonstrated experience in assessment, treatment planning, and interdisciplinary care coordination.
Experience providing or overseeing services and/or managed care navigation preferred.
Proficient in Microsoft Office, especially Excel, and able to type at least 40 words per minute.
Strong documentation and clinical writing skills.

Benefits

Comp & perks

Family Planning, Fertility, Adoption Benefits
Flexible work hours and work from home opportunities
403B Retirement Plan
PTO Days/Sick Days/Wellness Days
Education Assistance
Wellness Program
Employee Assistance Program
Health, Dental, Vision Insurance
Medical, Prescription Drug Insurance
Commuter Benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

utilization managementcare coordinationassessmenttreatment planninginterdisciplinary care coordinationclinical writingbehavioral health servicesdocumentationmanaged care navigationcrisis consultation

Soft Skills

collaborationcommunicationorganizational skillsprovider engagementquality monitoringmember-centered approachproblem-solvingteamworkleadershipadaptability

Certifications

Master’s degree in Social WorkLicensed Social Worker (LSW)Licensed Professional Counselor (LPC)Licensed Marriage and Family Therapist (LMFT)Licensed Clinical Social Worker (LCSW)associate license eligibility