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Behavioral Health Clinical Liaison
Centene Corporation. Serve as a liaison for external groups and providers regarding clinical information from Operations and Medical Management teams .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in behavioral health and substance use assessment, case management, and quality improvement, with a strong focus on data-driven analysis and provider education. Holds relevant licensure and has extensive experience in outpatient care within community settings.
Highest-signal resume keywords
Master's Degree In Social WorkLicensed Clinical Social Worker (LCSW)Behavioral Health Outpatient CareCase ManagementQuality Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Assessment Of Treatment PlansUtilization ManagementData-Driven AnalysisProgram Effectiveness MeasurementClinical Record Review
Soft Skills
CollaborationCommunicationProblem-SolvingFacilitation
Certifications & Qualifications
Licensed Mental Health Counselor (LMHC)Licensed Professional Counselor (LPC)Licensed Marital And Family Therapist (LMFT)Licensed Mental Health Professional (LMHP)Licensed Clinical Psychologist
Industry Keywords
Behavioral HealthSubstance UseManaged CareOutpatient CareQuality Incentive Payments
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 perform reviews of member clinical records and services related to behavioral health and substance use
- Interpret and present program results
- Develop data-driven analysis and metrics to measure effectiveness and ROI of current and new programs
- Partner with staff and internal and external departments on provider education and outreach
- Identify 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
- Address issues between the provider network, community, and facility, and recommend solutions
- Act as the clinical representative in various meetings
- Collaborate with staff 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
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- 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 - Licensed Clinical Social Worker required, or LMHC - Licensed Mental Health Counselor required, or LPC - Licensed Professional Counselor required, or LMFT - Licensed Marital and Family Therapist required, or LMHP - Licensed Mental Health Professional required, or Licensed Clinical Psychologist required
- State specific licensure may be required for AZ, FL, GA, NV, SC, NC, and WA
- Candidate must be fully licensed in the state of Georgia
- Outpatient experience strongly preferred
- Hours will align with Central Standard Time (CST)
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plan
- 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
- Benefits may be subject to program eligibility