Behavioral Health Clinical Liaison

Centene Corp.; Missouri; Hybride; USD 70 000 - 126 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Résumé du poste

Centene is seeking a clinical liaison to coordinate information between external groups and our Operations and Medical Management teams. The role involves reviewing member behavioral health records, ensuring compliance, and providing data-driven insights.

Applicants must hold MO licensure for LCSW/LMHC/ LPC/LMFT/LMHP or equivalent clinical psychologist credentials and possess at least 4+ years in behavioral health outpatient settings. Residency in Missouri is required.

Qualifications

• Master's Degree In Social Work or Behavioral Health required.
• LCSW, LMHC, LPC, LMFT, LMHP, or Licensed Clinical Psychologist licensure required.
• MO Residency and licensure in one of the listed credentials required for this position.

Responsabilités

• Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs
• Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts
• Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations
• Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve
• Act as the clinical representative in various meetings
• Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction
• Serve as resource and liaison on utilization, quality improvement and case management activities
• Complies with all policies and standards

Connaissances

Clinical data review

Stakeholder education

Cross-functional collaboration

Formation

Master's Degree In Social Work or Behavioral Health

LCSW - Licensed Clinical Social Worker

LMHC - Licensed Mental Health Counselor

LPC - Licensed Professional Counselor

LMFT - Licensed Marital and Family Therapist

LMHP - Licensed Mental Health Professional

Licensed Clinical Psychologist

Description du poste

Position Purpose

Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and services related to behavioral health and substance use.

Key Details

MO Residency and Licensure in one of the following required for this position: LCSW, LMHC, LPC, LMFT or LMHP.

Responsibilities

• Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs


• Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts


• Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations


• Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve


• Act as the clinical representative in various meetings


• Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction


• Serve as resource and liaison on utilization, quality improvement and case management activities


• Complies with all policies and standards

Education / Experience

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

Licenses / Certifications

• LCSW - Licensed Clinical Social Worker required


• LMHC - Licensed Mental Health Counselor required


• LPC - Licensed Professional Counselor required


• LMFT - Licensed Marital and Family Therapist required


• LMHP - Licensed Mental Health Professional required


• Licensed Clinical Psychologist required


• State specific licensure may be required for the following states: AZ, FL, GA, NV, SC, NC, and WA required

Pay Range

Pay Range: $70,100.00 - $126,200.00 per year

Benefits

• Competitive pay


• Health insurance


• 401K and stock purchase plans


• Tuition reimbursement


• Paid time off plus holidays


• Flexible approach to work with remote, hybrid, field, or office work schedules

Total Compensation

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Company Culture

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

EEO Statement

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Company Commitment

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.