Behavioral Health Clinical Liason

Centene Corp.; Nevada; 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 + holidays

Flexible work schedules: remote,hybrid

Job summary

Centene Corp. seeks a Behavioral Health Specialist to liaison with external groups/providers, review member records, and develop data-driven analyses for program ROI. The role partners with Operations, Medical Management, and regional leadership to educate providers and close gaps.

Requires a Master’s in Social Work or Behavioral Health and 4+ years in behavioral health outpatient care, with licensed credentials such as LCSW/LMHC/LPC/LMFT/LMHP or psychologist license.

Qualifications

• Master's degree in social work/behavioral health required.
• 4+ years of behavioral health outpatient experience in community or private practice.
• Experience in assessment of treatment plans across mental health and substance use.
• Experience with managed care, case management, utilization management or quality improvement.

Responsibilities

• Serve as liaison for external groups/providers about clinical information from Operations and Medical Management.
• Review member behavioral health and substance use related records and services.
• Present program results and develop data-driven metrics for ROI.
• Collaborate with staff and external departments on provider education and outreach.
• Identify gaps and develop/deploy education to address them; support quality initiatives.

Education

Master's Degree in Social Work or Behavioral Health

Licenses: LCSW, LMHC, LPC, LMFT, LMHP, Licensed Clinical Psychologist

Job description

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 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

Licenses/Certifications: LCSW - Licensed Clinical Social Worker required or LMHC - Licensed Mental Health Counselor required or LPC - Licensed Professional Counselor required or LMFT - Licensed Marital and Family Therapist required or LMHP - Licensed Mental Health Professional required or Licensed Clinical Psychologist required or: *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

About Centene

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.

Centene offers a comprehensive benefits package including:

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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