Behavioral Health Clinical Liaison
| Company | Centene |
|---|---|
| Location | Florida, USA, Georgia, USA, North Carolina, USA, Ohio, USA |
| Salary | $68700 – $123700 |
| Type | Full-Time |
| Degrees | Master’s |
| Experience Level | Mid Level, Senior |
Requirements
- Master’s degree in Social Work or Behavioral Health or Graduate from an Accredited School of Nursing
- 4-6 years related 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
- LCSW – Licensed Clinical Social Worker required
- LMHC-Licensed Mental Health Counselor required
- LPC-Licensed Professional Counselor required
- Licensed Marital and Family Therapist (LMFT) required
- Licensed Mental Health Professional (LMHP) required
- RN – Registered Nurse – State Licensure and/or Compact State Licensure required
- Licensed Clinical Psychologist: state specific licensure may be required for the following states: AZ,FL, GA, NV and WA
Responsibilities
- Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams
- Assess and perform 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
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
- Preference will be given to applicants based in the eastern time zone
- Preference will be given to applicants who have independent clinical licensure along with a varied behavioral health outpatient clinical background