Clinical Liaison

• 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

Explore Behavioral Health Clinical Liaison at Centene Corporation. Review requirements and application details.