Behavioral Health Clinical Liaison

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

📋 Description

• Act as a liaison for external parties 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 present program outcomes, developing data-driven insights and metrics to assess the effectiveness and ROI of existing and new programs.

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

• Identify educational gaps and create and implement educational initiatives.

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

• Facilitate discussions and provide recommendations.

• Establish and oversee procedures for tracking, identifying, and addressing operational issues involving the provider network, community, and facilities.

• Represent clinical interests in various meetings.

• Work with staff to pinpoint opportunities and initiate process improvements aimed at enhancing quality and increasing satisfaction among staff, providers, and members.

• Serve as a resource and liaison regarding utilization, quality improvement, and case management activities.

• Adhere to all policies and standards.

⛳️ Requirements

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

• 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 within 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 necessary.

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

• Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or as a Licensed Clinical Psychologist is mandatory.

• State-specific licensure may be needed for Arizona, Florida, Georgia, Nevada, South Carolina, North Carolina, and Washington.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans available.

• Tuition reimbursement offered.

• Paid time off in addition to holidays.

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

• Additional incentive options may be included in total compensation.