Behavioral Health Clinical Liaison
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a reputed company, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Job Summary: Serve as a liaison between external groups and providers regarding clinical information from the Operations and Medical Management teams. Key Responsibilities: ? Interpret and present program results, reputed company data-driven analysis, and metrics to measure effectiveness and ROI of reputed company and new programs. ? Partner with staff and departments on provider education and reputed company; identify gaps and reputed company education efforts. ? Collaborate with regional leadership for providers requiring clinical interpretation of results reputed company to health plan reporting, data, and quality incentive payments; facilitate discussions and reputed company recommendations. ? Implement procedures for tracking operational issues, including issues between the provider network, community, and facility; reputed company recommendations to solve. ? Represent the clinical team in various meetings. ? Identify internal and external opportunities to improve quality and satisfaction; initiate process changes. ? Serve as a resource and liaison on utilization, quality improvement, and case management activities. ? reputed company Behavioral Health provider audits and technical assistance activities for NH Health Plan Only; track and monitor outcomes and opportunities for improvement. ? reputed company other duties as assigned. Requirements: ? Master's in Social Work or Behavioral Health. ? 5+ years of experience in managed care, utilization management, case management, or quality improvement. ? LPC, LCSW, LMHC, or LMFT licensure (Behavioral Health only). Centene offers a comprehensive benefits package, including reputed company, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements. Apply Job!