Behavioral Health Clinical Liaison

Centene Corp.; Orlando (FL); Remote; USD 68,000 - 124,000; Full time

Job summary

A leading national health organization seeks a Behavioral Health Clinical Liaison to enhance member care and address operational challenges. The role involves collaborating with internal and external partners to improve clinical outcomes and member satisfaction. Ideal candidates will possess a Master’s degree in Social Work or Behavioral Health and significant clinical experience, including licensure as a Clinical Social Worker or Counselor.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 4-6 years related experience providing behavioral health outpatient care.
• Experience with managed care and utilization management.
• Experience with assessment of treatment plans for mental health.

Responsibilities

• Serve as a liaison for clinical information from Operations.
• Collaborate with staff to improve member satisfaction and quality.
• Manage operational issues between the provider network and community.

Skills

Assessment of treatment plans

Behavioral health outpatient care

Quality improvement

Case management

Education

Master’s degree in Social Work or Behavioral Health

Graduate from an Accredited School of Nursing

Job description

Behavioral Health Clinical Liaison page is loaded

Behavioral Health Clinical Liaison

Apply locations Remote-KY Remote-FL Remote-MO time type Full time posted on Posted 2 Days Ago job requisition id 1569185

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

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.

• 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

• For NH Health Plan Only: Perform Behavior Health provider audits and technical assistance activities. Track and monitor outcomes and opportunities for improvement. Participate with the BH program functions and operations. Participate in exhibit O or any additional reporting requirements. Local travel required for in-person events, projects, auditing and community engagement activities
• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: Master’s degree in Social Work or Behavioral Health or Graduate from an Accredited School of Nursing. 4-6 years related experience providing behavioral health outpatient care in a community setting or independent practice. Experience with assessment of treatment plans related to mental health and substance abuse across the continuum of care. Experience with managed care, case management, utilization management, or quality improvement.

License/Certification: LCSW - Licensed Clinical Social Worker required or
LMHC-Licensed Mental Health Counselor required or
LPC-Licensed Professional Counselor required or
Licensed Marital and Family Therapist (LMFT) required or
Licensed Mental Health Professional (LMHP) required or
RN - Registered Nurse - State Licensure and/or Compact State Licensure required or

Licensed Clinical Psychologist:

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

Pay Range: $68,700.00 - $123,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. 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.

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