Clinical Care Manager

The Specialty Populations Clinical Care Manager (CCM) is responsible for longitudinal care management and clinical oversight of members with complex behavioral health needs residing in high acuity and long-term residential settings. These settings include Extended Acute Care, Non-Hospital Extended Acute Care, Residential Treatment Facility for Adults, Long Term Structured Residences, Integrated Behavioral Health in Long- Term Care and Community Treatment Team – Clinically Supportive Living.

This role ensures clinically appropriate and person-centered care through ongoing utilization management, provider collaboration, and system coordination. The Clinical Care Manager actively supports discharge planning, reduction of prolonged lengths of stay, and transitions to the least restrictive level of care, while addressing clinical, social, and legal barriers impacting member outcomes.

Essential Functions