Behavioral Health Clinical Liason

Centene Corp.; Washington; 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

Flexible work with remote, hybrid, or

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Behavioral health

Outpatient care

Data-driven analysis

Formation

Master's Degree in Social Work or Behavioral Health

Outils

Utilization management

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.

• 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 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: $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.

Benefits Package

• 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.

Equity and Diversity

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