Title:                        STEP Care Manager

Department:         Office of Prevention and Intervention

Reports To:            Assistant Director, Operations (STEP)

Union:                      Not Represented by a Union

Salary Range:          $53,848 - $72,484

The School District of Philadelphia is committed to becoming the fastest improving District in the country and transforming the educational opportunities it offers to our city’s more than 198,000 students. The District seeks leaders who have a passion for working with schools and communities who are committed to ensuring all students achieve. Serving a population as diverse as ours requires creativity, commitment and vision. Will you join us?

Job Summary

The STEP Care Manager will work as part of the Support Team for Educational Partnership (STEP) to ensure that the STEP program remains in compliance with State and Funder regulatory requirements. Coordinates the pre billing functions of the STEP program with both STEP Leadership and the STEP Teams. The STEP Care Manager will coordinate with the STEP Billing Specialist to ensure that reimbursement procedures for Behavioral Health services provided to Medicaid-eligible students are being utilized and followed with integrity. Additionally, participates in the monitoring of the services rendered for compliance with State and Medicaid (CBH) reimbursement guidelines.  Additional functions involve acting as a liaison with the District’s representatives and third party providers, as needed.

Essential Functions

•  Prepares and analyzes reports from the Electronic Health Record to capture new admissions and discharges from the STEP Program to ensure that students are set up completely and correctly to ensure seamless billing and data collection.

•  Meets with STEP Leadership and STEP Teams to review policies and procedures and other program requirements as needed. 

•  Reviews documentation from STEP teams and providers for services rendered for completeness and accuracy.

•  Assists in the assurance that the recommendation for service as well as the provider and type of service for which reimbursement is being sought meets the eligibility requirements.

•  Compiles requests for submission for required pre-authorization and manages authorizations in the Electronic Health Record. 

•  Participates in the examination of program records as required to ensure compliance with State and Funder regulatory requirements.

•  Assists with the compilation of interdepartmental data pertaining to the program as needed.

•  Coordinates and assists with the exchange of data for the necessary parties to determine student eligibility.

•  Coordinates the resolution of exception/error reports with the Billing Specialist, STEP Leadership, and STEP teams.

•  Serves as a liaison between STEP Team and STEP Billing Specialist, as well as with other District employees and third party providers as needed.

•  Attends scheduled meetings.

%3Ch1 style=%22margin:0in 0in 3.2pt -.25pt;%22%3E%3Cspan style=%22font-size:16px;%22%3EMinimum Requirements%3C/span%3E%3C/h1%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.1in;mso-list:l0 level1 lfo1;text-indent:-.1in;%22%3E%3Cspan style=%22mso-list:Ignore;%22%3E•%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-list:Ignore;%22%3E%26nbsp; %3C/span%3EBachelor’s degree from an accredited college or university.%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.1in;mso-list:l0 level1 lfo1;text-indent:-.1in;%22%3E%3Cspan style=%22mso-list:Ignore;%22%3E•%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-list:Ignore;%22%3E%26nbsp; %3C/span%3ETwo years of full-time, paid experience in an administrative support role with Mental/Behavioral Health programs involving authorization management, compliance and review of records to ensure requests for medical reimbursements and health services comply with program guidelines as well as experience in Mental/Behavioral Health Billing, CPT, and ICD-10 coding.%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3EExperience with CBH Billing is encouraged, but not required.%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22line-height:107%;margin:0in 0in .0001pt 2.85pt;text-align:center;text-indent:0in;%22%3E%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Ch1 style=%22margin:0in .1in 10.9pt 7.55pt;text-align:center;%22%3E%3Cspan style=%22font-size:14px;%22%3E%3Cspan style=%22font-weight:normal;text-decoration:none;text-underline:none;%22%3EOR%3C/span%3E%3C/span%3E%3C/h1%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:6.45pt;text-indent:-.1in;%22%3E%3Cspan style=%22font-family:%26quot;Segoe UI Symbol%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-family:%26quot;Segoe UI Symbol%26quot;;mso-fareast-font-family:%26quot;Segoe UI Symbol%26quot;;%22%3E•%3C/span%3E%3C/span%3E Five years of full-time, paid experience in an administrative support role with Mental/Behavioral Health Programs involving authorization management, compliance and review of records to ensure requests for medical reimbursements and health services comply with program guidelines as well as experience in Mental/Behavioral Health Billing, CPT, and ICD-10 coding.%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3EExperience with CBH Billing is encouraged, but not required.%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22line-height:107%;margin:0in 0in .0001pt .1in;text-align:left;text-indent:0in;%22 align=%22left%22%3E%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Ch1 style=%22margin-left:7.55pt;text-align:center;%22%3E%3Cspan style=%22font-size:14px;%22%3E%3Cspan style=%22font-weight:normal;text-decoration:none;text-underline:none;%22%3EOR%3C/span%3E%3C/span%3E%3C/h1%3E%3Cp class=%22MsoNormal%22 style=%22line-height:107%;margin:0in 0in .0001pt 10.05pt;text-align:center;text-indent:0in;%22%3E%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin:0in 0in 8.5pt .2in;text-indent:-.1in;%22%3E%3Cspan style=%22font-family:%26quot;Segoe UI Symbol%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-family:%26quot;Segoe UI Symbol%26quot;;mso-fareast-font-family:%26quot;Segoe UI Symbol%26quot;;%22%3E•%3C/span%3E%3C/span%3E A combination of Mental/Behavioral Health experience determined to be acceptable by the Office of Talent to fill this Medicaid reimbursement position.%3C/p%3E%3Ch2 style=%22margin:0in 0in 1.35pt -.25pt;%22%3E%3Cspan style=%22font-size:16px;%22%3EKnowledge, Skills and Abilities%3Cspan style=%22mso-spacerun:yes;text-decoration:none;text-underline:none;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/h2%3E%3Cp class=%22MsoNormal%22 style=%22line-height:102%;margin:0in 45.95pt .15pt .1in;mso-list:l1 level1 lfo2;text-align:left;text-indent:-.1in;%22 align=%22left%22%3E%3Cspan style=%22mso-list:Ignore;%22%3E•%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-list:Ignore;%22%3E%26nbsp; %3C/span%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cstrong%3E%3Cu style=%22text-underline:black;%22%3EDemonstrated knowledge of:%3C/u%3E %3C/strong%3E%3C/b%3E%3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E CPT and ICD-10 coding. %3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E standard customer service practices and procedures. %3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E the methods and techniques for effective compliance administration. %3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E Mental/Behavioral Health forms and procedures.%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin:0in .7pt .25pt 27.0pt;mso-list:l1 level2 lfo2;text-indent:-9.0pt;%22%3E%3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3Eo%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3E %3C/span%3E%3C/span%3EIBHS regulations, preferred.%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22line-height:107%;margin:0in 0in .0001pt;text-align:left;text-indent:0in;%22 align=%22left%22%3E%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22line-height:107%;margin:0in 45.95pt .0001pt .1in;mso-list:l1 level1 lfo2;text-align:left;text-indent:-.1in;%22 align=%22left%22%3E%3Cspan style=%22mso-list:Ignore;%22%3E•%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-list:Ignore;%22%3E%26nbsp; %3C/span%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cstrong%3E%3Cu style=%22text-underline:black;%22%3EAbility to:%3C/u%3E%3C/strong%3E%3C/b%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22line-height:102%;margin:0in .7pt .15pt 27.0pt;mso-list:l1 level2 lfo2;text-indent:-9.0pt;%22%3E%3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3Eo%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3E %3C/span%3E%3C/span%3Ework independently within an Electronic Health Record.%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3E%3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E ensure Electronic Records meet documentation standards for regulatory requirements. %3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E run reports and analyze program data. %3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E create and utilize spreadsheets for compliance management.%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin:0in .7pt .25pt 27.0pt;mso-list:l1 level2 lfo2;text-indent:-9.0pt;%22%3E%3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3Eo%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3E %3C/span%3E%3C/span%3Elearn procedures pertaining to the STEP program. %3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;%22%3Eo%3C/span%3E%3C/span%3E communicate effectively, both orally and in writing.%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22line-height:107%;margin:0in .7pt .0001pt 27.0pt;mso-list:l1 level2 lfo2;text-indent:-9.0pt;%22%3E%3Cspan style=%22font-family:%26quot;Courier New%26quot;;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3Eo%3C/span%3E%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-fareast-font-family:%26quot;Courier New%26quot;;mso-list:Ignore;%22%3E %3C/span%3E%3C/span%3Eestablish and maintain effective working relationships STEP leadership and STEP%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin:0in 0in 8.3pt 27.5pt;%22%3Eteams.%3C/p%3E%3Ch2 style=%22margin:0in 0in 2.15pt -.25pt;%22%3E%3Cspan style=%22font-size:16px;%22%3EDisclaimer%3C/span%3E%3C/h2%3E%3Cp class=%22MsoNormal%22 style=%22margin:0in 0in 9.35pt -.25pt;%22%3EThe above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.%3Cspan style=%22mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22margin-left:-.25pt;%22%3E%3Cspan style=%22font-size:16px;%22%3E%3Cstrong%3ENondiscrimination%3C/strong%3E%3C/span%3E%3Cbr%3E%3Cbr%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:14px;%22%3E%3Cspan style=%22line-height:98%;mso-ansi-language:EN-US;mso-bidi-language:AR-SA;mso-fareast-font-family:Arial;mso-fareast-language:EN-US;%22%3EThe School District of Philadelphia provides equal employment opportunities to all employees and applicants for employment without regard to race, color, age, creed, religion, sex, sexual orientation, ancestry, national origin, disability, pregnancy, marital status, gender identity, or genetic information. Please refer to Board Policy 348 for further information regarding the District%27s commitment to Nondiscrimination in Employment Practices%3C/span%3E%3C/span%3E%3C/p%3E

Job Details
Primary Location: Prevention & Intervention (9KR0)
Job: Central Office
Organization: The School District of Philadelphia
Schedule: Regular
Employee Status: Non-Management
Job Posting: Sep 18, 2026, 11:15:42 AM
Union Affiliation: Not represented by a union
Overtime Status: Exempt
Unposting Date: Oct 18, 2026, 11:59:00 PM