Behavioral Health Clinical Liaison

atCentene CorporationRemoteUS flagMissouriFull-timeUncategorizedMid-levelSenior$70.1k – $126.2k/year

Posted 16 hours ago

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

📋 Description

• Act as a liaison for external organizations and providers concerning clinical information from the Operations and Medical Management teams.

• Evaluate and review member clinical records and services associated with behavioral health and substance use.

• Analyze and communicate program outcomes while developing data-driven analyses and metrics to assess the effectiveness and ROI of existing and new programs.

• Collaborate with team members and internal as well as external departments on provider education and outreach initiatives.

• Identify gaps and create, implement, and deploy educational efforts.

• Work alongside regional leadership for providers needing clinical interpretation of health plan reporting, data, and quality incentive payments.

• Lead discussions and provide recommendations.

• Establish and oversee procedures for tracking, identifying, and resolving operational issues.

• Serve as the clinical representative in various meetings.

• Partner with staff to discover opportunities and initiate process changes aimed at enhancing quality and boosting satisfaction for staff, providers, and members.

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

• Carry out additional duties as assigned.

• Adhere to all policies and standards.


⛳️ Requirements

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

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

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

• Familiarity with managed care, case management, utilization management, or quality improvement is required.

• Candidates must reside in and hold a license in the state of Missouri.

• Outpatient experience is strongly preferred.

• LCSW - Licensed Clinical Social Worker, or LMHC - Licensed Mental Health Counselor, or LPC - Licensed Professional Counselor, or LMFT - Licensed Marriage and Family Therapist, or LMHP - Licensed Mental Health Professional, or Licensed Clinical Psychologist is required.

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


🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional forms of incentives may be included in the overall compensation package.

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