Behavioral Health Clinical Liaison

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Serve as a liaison for external groups and providers regarding clinical information from Operations and Medical Management teams • Assess and perform reviews of member clinical records and services related to behavioral health and substance use • Interpret and present program results • Develop data-driven analysis and metrics to measure effectiveness and ROI of current and new programs • Partner with staff and internal and external departments on provider education and outreach • Identify gaps and develop and deploy education efforts • Partner with regional leadership on clinical interpretation of health plan reporting, data, and quality incentive payments • Facilitate discussions and make recommendations • Implement and manage procedures for tracking, identifying, and resolving operational issues • Address issues between the provider network, community, and facility, and recommend solutions • Act as the clinical representative in various meetings • Collaborate with staff to identify opportunities and initiate process changes to increase quality and improve staff, provider, and member satisfaction • Serve as a resource and liaison on utilization, quality improvement, and case management activities • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Master's Degree In Social Work or Behavioral Health required • 4+ years experience providing behavioral health outpatient care in a community setting or independent practice required • Experience with assessment of treatment plans related to mental health and substance abuse across the continuum of care required • Experience with managed care, case management, utilization management, or quality improvement required • LCSW - Licensed Clinical Social Worker required, or LMHC - Licensed Mental Health Counselor required, or LPC - Licensed Professional Counselor required, or LMFT - Licensed Marital and Family Therapist required, or LMHP - Licensed Mental Health Professional required, or Licensed Clinical Psychologist required • State specific licensure may be required for AZ, FL, GA, NV, SC, NC, and WA • Candidate must be fully licensed in the state of Georgia • Outpatient experience strongly preferred • Hours will align with Central Standard Time (CST)

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Benefits may be subject to program eligibility