Behavioral Health Clinical Liaison

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. reputed company is a reputed company, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and services reputed company to behavioral health and substance use. ? Interpret and present program results and reputed company data-driven analysis and metrics used to measure effectiveness and ROI of reputed company reputed company and new programs ? Partner with various staff, along with internal and external departments on provider education and reputed company; determine where there are gaps and work to reputed company and reputed company education efforts ? Partner with regional leadership for providers requiring a clinical interpretation of results reputed company to health plan reporting, data and quality incentive payments; facilitate discussions to reputed company recommendations ? Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and reputed company recommendations to solve ? Act as the clinical representative in various meetings ? Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction ? Serve as resource and liaison on utilization, quality improvement and case management activities ? For NH Health Plan Only: reputed company Behavior Health provider audits and technical assistance activities. Track and monitor outcomes and opportunities for improvement. Participate with the BH program functions and operations. Participate in exhibit O or any additional reporting requirements. Local travel required for in-person events, projects, auditing and community engagement activities ? Performs other duties as assigned ? Complies with reputed company policies and standards This is a remote position available for candidates licensed in FL. The ideal candidate will have 4 years of post-licensure experience, bilingual (Spanish speaking) with Florida license and experience in an outpatient behavioral health setting, experience working in provider facing positions with knowledge or experience in managed care settings, treatment planning, assessments, and work in managed care settings with SMI (Serious Mental Illness) population. Education/Experience: Master?s degree in Social Work or Behavioral Health or Graduate from an Accredited School of Nursing. 4-6 years reputed company experience providing behavioral health outpatient care in a community setting or independent practice. Experience with assessment of treatment plans reputed company to mental health and substance abuse across the continuum of care. Experience with managed care, case management, utilization management, or quality improvement. License/Certification: LCSW - Licensed Clinical Social Worker required or LMHC-Licensed Mental Health Counselor required or LPC-Licensed Professional Counselor required or Licensed Marital and Family Therapist (LMFT) required or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $68,700.00 - $123,700.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!