Remote Behavioral Health Liaison & Care Outcomes

Centene Corp.; Olympia (WA); Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangement (remote,hybr

Remote/Hybrid/Office options

Job summary

Centene Corp. seeks a clinical operations liaison to coordinate with external groups and providers. You will review member records, assess behavioral health and substance use services, and develop metrics to demonstrate program ROI.

You will collaborate across departments to educate providers, identify gaps, and drive quality improvements. With a focus on utilization, quality, and case management, you will help align health plan reporting with clinical outcomes, ensuring compliance with policies

Qualifications

• Master’s degree in social work or behavioral health required.
• 4+ years of behavioral health outpatient care experience in community settings or private practice.
• Experience assessing treatment plans for mental health and substance use across care continuum.
• Experience with managed care, case management, utilization management or quality improvement.
• State license(s) may be required for certain states.

Responsibilities

• Serve as 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.
• Develop data-driven analyses and metrics to measure program effectiveness and ROI.
• Partner with internal/external staff on provider education and outreach; identify gaps and implement education.
• Collaborate with regional leadership to interpret results for health plan reporting and quality payments.
• Track and resolve operational issues between provider network, community, and facility; recommend solutions.
• Act as clinical representative in meetings and drive process improvements.
• Support utilization, quality improvement and case management activities; ensure policy compliance.

Education

Master's Degree In Social Work or Behavioral Health

Licensed Clinical Social Worker (LCSW)

Licensed Mental Health Counselor (LMHC)

Licensed Professional Counselor (LPC)

Licensed Marital and Family Therapist (LMFT)

Licensed Mental Health Professional (LMHP)

Licensed Clinical Psychologist

Job description

Centene Corp. seeks a clinical operations liaison to coordinate with external groups and providers. You will review member records, assess behavioral health and substance use services, and develop metrics to demonstrate program ROI.

You will collaborate across departments to educate providers, identify gaps, and drive quality improvements. With a focus on utilization, quality, and case management, you will help align health plan reporting with clinical outcomes, ensuring compliance with policies