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

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

Salary

$64,896.00 Annually

Location

Fayette County, PA

Job Type

Civil Service Permanent Full-Time

Job Number

CS-2025-29222-L0761

Department

Local Government

Division

HS Fayette Co Mh/Id Unit

Opening Date

07/08/2025

Closing Date

7/21/2025 11:59 PM Eastern

Job Code

L0761

Position Number

80002394

Union

Non Union

Bargaining Unit

LG

Pay Group

LG

Bureau / Division Code

88213426

Bureau / Division

Fayette County MH/ID Unit

Worksite Address

215 Jacob Murphy Lane

City

Uniontown, Pennsylvania

Zip Code

15401

Contact Name

Nicole Fijalkovic

Contact Phone

724.430.1431

Contact Email

[email protected]

+ Description

+ Benefits

+ Questions

THE POSITION

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!

DESCRIPTION OF WORK

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.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

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:

+ 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

Other Requirements:

+ You must meet the PA residency requirement (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . For more information on ways to meet PA residency requirements, follow the link (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) 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 willnotbe 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:

+ Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

+ 711 (hearing and speech disabilities or other individuals).

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.

EXAMINATION INFORMATION

+ 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/testoncefor this posting.

+ Your results will be provided via email.

Benefit packages are determined by the county and may vary. Please contact the applicable county human resource office directly to inquire about a specific benefit package.

01

Do you possess an active license issued by the Pennsylvania Bureau of Professional and Occupational to practice as a Social Worker, Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Psychologist, Registered Nurse, Certified Registered Nurse Practitioner, or Clinical Nurse Specialist?

+ Yes

+ No

02

If yes, please provide your state license number and expiration date in the box below. If you answered no to the question above, please type N/A in the box below.

03

Do you possess two or more years of full-time professional mental health clinical experience?

+ Yes

+ No

04

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experiencemustalso be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

05

Have you completed a master's degree in social work, psychology, nursing, or counseling?

If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.

If you answer "Yes" to this question based on education acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting visitingwww.naces.organd clicking the Evaluation Services Link.

For additional information on foreign education credentials, please visithttps://www.employment.pa.gov/Additional%20Info/Pages/default.aspx#q3and click on Other Information. You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.

+ Yes

+ No

06

Do you possess an active license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing?

+ Yes

+ No

07

If yes, please provide your state license number and expiration date in the box below. If you answered no to the question above, please type N/A in the box below.

08

You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. Youmustcomplete the applicationandanswer the supplemental questions. Resumes, cover letters, and similar documents willnotbe reviewed for the purposes of determining your eligibility for the position or to determine your score.

All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.

Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training. The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered. In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to our ourFAQ page. (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx#q3)

+ Yes

09

WORK BEHAVIOR 1 – CONDUCTS ASSESSMENTS AND RECOMMENDS REFERRALS

Conducts assessments by interviewing clients to gather demographic and clinical information and recommends referrals for emergency, urgent, or routine professional psychiatric, behavioral, intellectual disabilities, or autism treatment services. Conducts follow-up of referrals with clients and providers to ensure adequate care is received.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience conducting assessments by interviewing clients to gather demographic and clinical information AND recommending referrals for emergency, urgent, or routine professional psychiatric, behavioral, intellectual disabilities, or autism treatment services. I ALSO have experience conducting follow-ups of referrals with clients and providers to ensure adequate care was received.

+ B. I have experience conducting assessments by interviewing clients to gather demographic and clinical information AND recommending referrals for emergency, urgent, or routine professional psychiatric, behavioral, intellectual disabilities, or autism treatment services. SOMEONE ELSE was responsible for conducting follow-ups of referrals with clients and providers to ensure adequate care was received.

+ C. I have experience conducting assessments by interviewing clients to gather demographic and clinical information. SOMEONE ELSE was responsible for recommending referrals for emergency, urgent, or routine professional psychiatric, behavioral, intellectual disabilities, or autism treatment services AND conducting follow- ups of referrals with clients and providers to ensure adequate care was received.

+ D. I have successfully completed college-level coursework related to social work, counseling, psychology, social work, nursing, rehabilitation, counseling, activity therapies, or special education.

+ E. I have NO experience or education related to this work behavior.

10

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience

+ The actual duties you performed related to conducting assessments by interviewing clients

+ The actual duties you performed related to recommending referrals

+ The actual duties you performed related to conducting follow-ups of referrals

11

If you have selected the level of performance pertaining to college coursework, please provide your responses to the three items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

12

WORK BEHAVIOR 2 – DOCUMENTS INFORMATION

Documents clinical information obtained from clients and providers related to authorizations, referrals, and behavioral health services. Enters case data into electronic case file records. Verifies accuracy of information in client case files and charts.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience documenting clinical information obtained from clients and providers related to authorizations, referrals, and behavioral health services and entering case data into electronic case file records. I ALSO have experience verifying the accuracy of information in client case files and charts.

+ B. I have experience entering CASE data into electronic case file records. I have verified the accuracy of information in case files and charts.

+ C. I have experience entering ANY data into electronic file records in a work or volunteer setting.

+ D. I have successfully completed college-level coursework related to data entry or document management.

+ E. I have NO experience or education related to this work behavior.

13

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience

+ The actual duties you performed related to documenting clinical information obtained from clients

+ The actual duties you performed related to entering data into case file records

+ The actual duties you performed related to verifying the accuracy of information in case files or charts

+ The type of data you entered into electronic file records

14

If you have selected the level of performance pertaining to college coursework, please provide your responses to the three items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

15

WORK BEHAVIOR 3 – FACILITATES MEETINGS

Facilitates behavioral health care management plan or treatment team meetings by completing all pre-meeting activities, ensuring the agenda is followed during the meeting, and keeping participants focused on the outcome of coordinating clinical care.

Levels of Performance

Select the Level of Performance that best describes your claim.

+ A. I have experience FACILITATING BEHAVIORAL HEALTH CARE MANAGEMENT OR TREATMENT team meetings. My duties consisted of preparing the agenda, leading the meeting by guiding the discussion, ensuring the agenda is followed during the meeting, and keeping participants focused on the outcome of coordinating clinical care.

+ B. I have experience FACILITATING meetings. My duties consisted of preparing the agenda, leading the meeting by guiding the discussion, ensuring the agenda is followed during the meeting, and keeping participants focused on the intended outcome of the meeting.

+ C. I have experience PARTICIPATING in meetings for the purpose of coordinating clinical care.

+ D. I have successfully completed college-level coursework related to public speaking or oral communications.

+ E. I have NO experience or education related to this work behavior.

16

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience

+ The actual duties you performed related to facilitating meetings

+ The subject matter of meetings you facilitated

+ Details regarding your experience participating in meetings for the purpose of coordinating clinical care

17

If you have selected the level of performance pertaining to college coursework, please provide your responses to the three items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

Required Question

Employer

Commonwealth of Pennsylvania

Address

613 North Street

Harrisburg, Pennsylvania, 17120

Website

http://www.employment.pa.gov