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Manager, Behavioral Health

Tucson, AZ, US•Posted Jun 19, 2023
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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.


Position Purpose Position is responsible for ensuring that the Managed Care Organization's behavioral health operations, which include the operations of any Managed Care Organization's behavioral health subcontractors, are in compliance with the terms of the Managed Care Organization's contract with the State.


This role coordinates and supervises the activities and performance of AzCH/Care1st staff in the following areas Justice, Workforce Development Administrator, and Employment Administrator. The Behavioral Health Manager will ensure that the Contractor’s behavioral health operations, which include the operations of any behavioral subcontractors, are in compliance with the terms of the Contract.


  • 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


EducationMaster’s Degree in Social Work, Psychology, Public Health, or a related field Preferred. 5+years of related experience both in the provision of direct care services as well as progressively increasing levels of management responsibilities. Working knowledge of Medicaid and health plan administration.


License/Certification LMSW, LCSW, LAMFT, LMFT, LAC, or LPC required.


Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.


Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Identifier
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