Substance Use Disorder Management Specialist
Company: PMHCC Inc.
Location: Philadelphia
Posted on: February 15, 2026
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Job Description:
Job Description Job Description Position Summary : The Clinical
Service Manager is responsible for utilization management by
conducting utilization review activities, population management,
cross-system consultation, provider management and treatment
quality monitoring. The Clinical Service Manager must utilize
clinical knowledge of best practices and evidence-based treatments
to ensure BHSI members receive timely access to quality, medically
necessary behavioral health services. Duties and Responsibilities:
Authorize and reauthorize treatment utilizing ASAM Criteria.
Facilitate care coordination with system partners to address social
determinants, barriers to wellness, and other needs of members,
including connection to appropriate community-based services.
Carries a caseload of provider agencies and acts as the liaison and
primary contact to those agencies. Authorizes and reauthorizes the
continuation of treatment or recommends and facilitates necessary
changes in the levels of care. Performs on-site utilization review
activities as needed which may include, but are not limited to, the
review of client charts, documentation of treatment services,
completion of required paperwork, confirmation of attempt to
establish M.A. eligibility. Performs telephonic screenings as
required and clinical dispositions as needed. Monitors program
eligibility of active patients via the Department of Welfare’s
PROMISe & e-CIS systems. Appropriately manage cases based on
eligibility. Ensures all required client paperwork is received and
complete. Maintain documentation in BHSI’s electronic system
consistent with agency and industry standards. Work collaboratively
with team members including assisting with the training of newly
hired employees as requested, covering work when peers are out of
the office as assigned. Display clinical integrity, advocacy and
commitment to member and family driven care and principles of
resiliency and recovery. Other duties as assigned. Skills Required:
Excellent clinical case conceptualization skills Maintain high
levels of advocacy. Possess the ability to actively listen and work
to resolve grievances expressed by the provider network and
community members, while exercising care and compassion. Proactive
planning and meeting facilitation Customer service Familiar with
psychiatric and medical conditions and concurrent medication usage
Excellent verbal and written communication skills and ability to
use them when communicating with internal and external
stakeholders. Excellent interpersonal and collaboration skills
Proficient in MS Office, especially with Excel, and able to type at
least 40 words per minute Ability to work independently and as part
of a team Excellent time management and prioritization skills and
ability to multi-task Compliant with HIPAA and Confidentiality
regulations Education and Experience: Bachelor’s degree in related
field with 3 years of relevant work experience in SUD; bachelor’s
degree and 5 years of relevant work experience in SUD; master’s
degree in related field with 2 years of relevant work experience in
SUD; or master’s degree with 3 years of relevant work experience in
SUD. Equal Opportunity Employment: PMHCC, Inc. is committed to
equal opportunity. It is our policy to support equal employment for
all employees and applicants without regard to race, religion,
color, sex, sexual preferences, age, national origin, disability,
behavioral health status, military status or any other
characteristic protected by law. Americans with Disabilities Act :
Employees as well as applicants who are currently, or become
disabled, must be able to perform the functions of the job with
either reasonable accommodation or unaided. PMHCC, Inc. will
examine reasonable accommodations on a case-by-case basis in
accordance with the law.
Keywords: PMHCC Inc., Bel Air North , Substance Use Disorder Management Specialist, Healthcare , Philadelphia, Maryland
