Behavioral Health Clinical Liaison: Data-Driven & Flexible

Centene Corp.; Missouri; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Job summary

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.

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

Skills

Clinical data review

Stakeholder education

Cross-functional collaboration

Education

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

Job description

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.