Behavioral Health Clinical Liaison — Remote/Hybrid

Centene Corp.; Washington; 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

Flexible work with remote, hybrid, or

Job summary

Centene Corp. seeks a Behavioral Health Liaison to connect operations, medical management, and external providers. You will review member records and oversee behavioral health and substance use services, while developing data-driven metrics to measure program ROI.

You will educate providers, collaborate with regional leadership, and drive quality improvements across care teams. A Masters in Social Work or related field plus 4+ years in outpatient settings are required, with relevant licenses.

Qualifications

• Master's degree in Social Work or Behavioral Health.
• 4+ years 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.

Responsibilities

• Serve as a liaison for external groups and providers regarding clinical information from Operations and Medical Management.
• Assess and review member clinical records and services related to behavioral health and substance use.
• Interpret and present program results and develop data-driven analysis and metrics.
• Partner with staff and internal/external departments on provider education and outreach.
• Collaborate with regional leadership on clinical interpretation of health plan reporting and quality incentives.
• Implement procedures to track operational issues and drive process improvements.
• Act as the clinical representative in meetings and support utilization, quality improvement and case management.

Skills

Behavioral health

Outpatient care

Data-driven analysis

Education

Master's Degree in Social Work or Behavioral Health

Tools

Utilization management

Job description

Centene Corp. seeks a Behavioral Health Liaison to connect operations, medical management, and external providers. You will review member records and oversee behavioral health and substance use services, while developing data-driven metrics to measure program ROI.

You will educate providers, collaborate with regional leadership, and drive quality improvements across care teams. A Masters in Social Work or related field plus 4+ years in outpatient settings are required, with relevant licenses.