Quality Behavioral Health Advocate

🔥 13 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Work with members and providers to close behavioral health care gaps and remove barriers to care • Improve member and provider experience through targeted outreach • Collaborate with members and providers to improve behavioral health HEDIS measures • Support behavioral health quality-improvement interventions • Conduct telephonic outreach, education, and health coaching • Schedule doctor and follow-up appointments • Arrange transportation and connect members with community-based resources and affinity programs • Act as liaison and member advocate between members/families, physicians, and facilities/agencies • Directly close FUH, FUM, and FUA HEDIS care gaps • Assist members in finding and connecting with behavioral health providers • Document member contacts and actions taken • Interact with customer service and other departments to resolve member issues • Refer members to case or disease management as appropriate • Provide coaching and training to Quality Behavioral Health Advocates • Act as subject matter expert for departmental best practices, reports, and data extracts • Lead preparation and submission of projects, reports, and assignments • Assist with new and expanding healthcare QI/HEDIS initiatives • Represent the supervisor in meetings and special assignments • Establish process improvements and assist with implementing departmental change • Conduct audits and chart reviews of fellow advocates • Participate in community, health department, collaborative, and organizational quality-improvement meetings • Complete special assignments and other duties as assigned

🎯 Requirements

• Applicants must reside in the state of FL • Active FL mental health/behavioral health licensure or RN with behavioral health experience • Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field, or equivalent work experience • A total of 4 years of experience required for the position • 4+ years of experience in direct patient care, social work, quality improvement, or health coaching, preferably in a managed care environment • Required upon hire: one of LCSW, LMSW, Licensed Psychologist, RN-BC, PMHNP-BC, MFT, LMFT, LMHP, LPC, LMHC, PA-C with behavioral health experience, MD psychiatrist, LISW, LICSW, LCPC, LIMHP, LPCC, or LPCMH • Ability to work Monday–Friday, 8am–5pm Eastern Time • Ability to maintain confidentiality of business and protected health information • Compliance with all policies and standards

🏖️ Benefits

• Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Competitive pay • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity