NEOGOV · 1 month ago
Clinical Care Reviewer (County Care Management Manager) Fayette County MD/ID
Fayette County, PA
Full-time
Onsite
Entry, Mid Level
$65K/yr - $65K/yr
2+ years expNEOGOV is seeking a Clinical Care Reviewer (County Care Management Manager) for the Fayette County Behavioral Health Administration. The role involves gathering clinical information to authorize referrals for mental health and substance abuse services, while also advocating for consumers and coordinating care with other managers.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Gathers demographic and clinical information by telephone necessary to authorize and make appropriate referrals to 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
Provides consumers with information regarding benefits, treatment options, the managed care system, and community resources; maintaining accurate documentation of all data in automated system and client records
Reviews and evaluates the medical appropriateness of psychiatric/behavioral health and substance abuse cases and, in consultation with supervisor, rendering a certification decision
Serves as an advocate for consumers and families; facilitating coordination of care with other care managers; completing referral and case documentation in accordance with program standards; conducting follow-up of referrals with consumers and providers of service and participating in customer service assessment activities
Prepares required reports as mandated by federal, state or county policies and procedures; and participating in clinical rounds, seminars, and training sessions to maintain licensure and clinical credentials
Qualification
Required
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
All positions require an active license issued by the Pennsylvania Bureau of Professional and Occupational Affairs in one of the following areas: Social Work (20001 - Social Worker, 20010 - Clinical Social Worker, 20020 - Marriage and Family Therapist, 20030 - Professional Counselor), Psychology (26001 - Psychologist), Nursing (18001 - Registered Nurse, 18040 - Certified Registered Nurse Practitioner, 18170 - Clinical Nurse Specialist)
You must meet the PA residency requirement
You must be able to perform essential job functions
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
Preferred
Hiring preference for this vacancy may be given to candidates who live within Fayette County
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
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2025-10-31
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