Behavioral Health Clinical Liaison

This is a fully remote position, open to applicants in Georgia.

📋 Description

• Act as a point of contact for external groups and providers concerning clinical information from the Operations and Medical Management teams.

• Evaluate and review member clinical records and services related to behavioral health and substance use.

• Analyze and present program outcomes while developing metrics and data-driven analysis to assess program effectiveness and return on investment (ROI).

• Collaborate with staff and both internal and external departments to enhance provider education and outreach.

• Identify gaps in provider education and create as well as implement educational initiatives.

• Work alongside regional leadership to interpret health plan reporting, data, and quality incentive payments clinically.

• Facilitate discussions and offer recommendations.

• Establish and oversee procedures for monitoring, identifying, and addressing operational issues related to the provider network, community, and facilities.

• Serve as the clinical representative in various meetings.

• Work together to identify opportunities and initiate process improvements aimed at increasing quality and enhancing satisfaction for staff, providers, and members.

• Act as a resource and liaison for utilization, quality improvement, and case management activities.

• Adhere to all policies and standards.

⛳️ Requirements

• GA licensure in one of the following is required: LCSW, LMHC, LPC, LMFT, or LMHP.

• A Master's Degree in Social Work or Behavioral Health is mandatory.

• A minimum of 4 years of experience in providing behavioral health outpatient care in a community setting or independent practice is required.

• Proficiency in assessing treatment plans related to mental health and substance abuse across the continuum of care is essential.

• Experience in managed care, case management, utilization management, or quality improvement is required.

• LCSW, LMHC, LPC, LMFT, LMHP, or Licensed Clinical Psychologist certification is necessary.

• State-specific licensure may be required for AZ, FL, GA, NV, SC, NC, and WA.

🏝️ Benefits

• Health insurance

• 401K

• Stock purchase plans

• Tuition reimbursement

• Paid time off plus holidays

• Flexible work options including remote, hybrid, field, or office schedules

• Additional incentive forms may be included in total compensation