Remote Behavioral Health Liaison | Data-Driven Clinician

Centene Management Company LLC; Missouri; Híbrido; USD 70 000 - 126 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

competitive pay

health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

flexible approach to work with remote,

Resumo da oferta

Centene Management Company LLC is seeking a Clinical Liaison to coordinate between Operations, Medical Management, providers, and external groups. The role emphasizes review of behavioral health and substance use records, data-driven program analytics, and education outreach across the provider network.

The position is remote with Missouri licensure required, and outpatient experience preferred. You will collaborate with regional leadership to improve health plan results and stakeholder

Qualificações

• 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.

Responsabilidades

• Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams.
• 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 used to measure effectiveness and ROI.
• Partner with staff and internal/external departments on provider education and outreach; identify gaps and develop education efforts.
• Facilitate clinical interpretation discussions with regional leadership for health plan reporting and quality incentive payments.
• Implement procedures for tracking and solving operational issues between the provider network, community, and facility.
• Act as the clinical representative in meetings and drive process changes to improve satisfaction.
• Collaborate to identify opportunities and initiate changes to improve quality and satisfaction of staff, providers, and members.
• Serve as resource on utilization, quality improvement and case management activities.

Formação académica

Master's Degree In Social Work or Behavioral Health

Descrição da oferta de emprego

Centene Management Company LLC is seeking a Clinical Liaison to coordinate between Operations, Medical Management, providers, and external groups. The role emphasizes review of behavioral health and substance use records, data-driven program analytics, and education outreach across the provider network.

The position is remote with Missouri licensure required, and outpatient experience preferred. You will collaborate with regional leadership to improve health plan results and stakeholder