Manager, Behavioral Health

Manager, Behavioral Health

24 May 2024
Florida, Tallahassee, 32318 Tallahassee USA

Manager, Behavioral Health

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.Qualified Candidates must reside in FloridaPosition Purpose:Position is responsible for ensuring that the MCO's behavioral health operations, which include the operations of any MCO behavioral health subcontractors, are in compliance with the terms of the MCO's contract with the State

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.

Monitor the CHC-MCO for adherence to BH requirements in the Agreement.

Coordinate Participant care needs with BH Providers.

Develop processes to coordinate behavioral healthcare between PCPs and BH Providers.

Participate in the identification of best practices for BH in a primary care setting.

Coordinate behavioral care with medically necessary services.

Be knowledgeable of the BH Managed Care Agreement requirements and coordinate with the BH-MCO to effectuate the requirements.

Performs other duties as assigned.

Complies with all policies and standards

Education/Experience:Bachelor's degree in Social Services, Psychology, Health Administration, or related field. Master’s degree in a Behavioral Health specialty preferred. 5+ years related experience. Working knowledge of Medicare, Medicaid and health plan administration. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.FL License Requirement: RN, LCSW, LCMHC or other Mental Health Professional license. Drivers License RequiredPay Range: $84,300.00 - $151,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, 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-related factors permitted by law. Total compensation may also include additional forms of incentives.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.

Related jobs

  • Job 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.

  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

  • Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture that will reflect in our communities and customers we serve. We offer medical, dental and vision coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time positions!

  • Job Description

  • Job Number 24102160

  • By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge.

Job Details

Jocancy Online Job Portal by jobSearchi.