Company
Centene Corporation
Description
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 diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
- Coordinate with all MCO functional areas, including quality management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, and reporting.
- Participate in all quality management and improvement activities, including participating in key State stakeholder committees
- Work closely with MCO network development and provider relations staff to develop and maintain the behavioral health network and ensure that it is fully integrated with the physical health provider network.
- Partner with UM staff to monitor behavioral health utilization, especially to identify and address potential behavioral health under -or over-utilization.
- Act as primary liaison with behavioral health community resources, including Community Mental Health Centers (CMHCs)
- Responsible for all reporting related to the MCO’s provision of behavioral health services.
- Oversee subcontracts related to behavioral health services
Identifier
33ea35f3063cd4943f4a0964f55c84dc
Show More
Ready to join the team? We'd love to have you!