Behavioral Health Clinical Liaison

Centene Corporation

. Serve as a liaison for external groups and providers regarding clinical information from Operations and Medical Management teams .

Posted 11/10/2026full-timeRemote • Georgia • United StatesMid-LevelSenior💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in behavioral health and substance use assessment, case management, and quality improvement, with a strong focus on provider education and operational issue resolution. Holds relevant licensure and a Master's Degree in Social Work or Behavioral Health, ensuring compliance with state-specific regulations.

Highest-signal resume keywords

GA Licensure (LCSW, LMHC, LPC, LMFT, LMHP)Master's Degree in Social Work or Behavioral Health4+ Years Experience in Behavioral Health Outpatient CareExperience with Managed Care and Utilization ManagementAssessment of Treatment Plans for Mental Health and Substance Abuse

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Behavioral Health AssessmentCase ManagementQuality ImprovementUtilization ManagementData-Driven AnalysisProgram Effectiveness MeasurementOperational Issue ResolutionProvider Education DevelopmentClinical Record ReviewROI Analysis

Soft Skills

CollaborationCommunicationFacilitationProblem-SolvingLiaison Skills

Certifications & Qualifications

LCSWLMHCLPCLMFTLMHPLicensed Clinical Psychologist

Industry Keywords

Behavioral HealthSubstance UseCommunity SettingProvider NetworkHealth Plan ReportingQuality Incentive PaymentsClinical InterpretationOutpatient CareTreatment PlansMental Health

About the role

Key responsibilities & impact

Serve as a liaison for external groups and providers regarding clinical information from 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 to measure program effectiveness and ROI
Partner with staff and internal and external departments on provider education and outreach
Identify provider education gaps and develop and deploy education efforts
Partner with regional leadership on clinical interpretation of health plan reporting, data, and quality incentive payments
Facilitate discussions and make recommendations
Implement and manage procedures for tracking, identifying, and resolving operational issues involving the provider network, community, and facility
Act as the clinical representative in various meetings
Collaborate to identify opportunities and initiate process changes to increase quality and improve staff, provider, and member satisfaction
Serve as a resource and liaison on utilization, quality improvement, and case management activities
Comply with all policies and standards

Requirements

What you’ll need

GA licensure in one of the following required: LCSW, LMHC, LPC, LMFT or LMHP
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
LCSW, LMHC, LPC, LMFT, LMHP, or Licensed Clinical Psychologist required
State-specific licensure may be required for AZ, FL, GA, NV, SC, NC, and WA

Benefits

Comp & perks

Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation