Behavioral Health Supervisor
Company: Centene Corporation
Location: Palm Harbor
Posted on: October 20, 2019
Position Purpose: Supervise and facilitate the daily operations of
the case management and utilization management functions
- Oversee the workflow and day-to-day operations of high risk
case management and utilization management functions, including
implementation of policies and procedures
- Ensure compliance with established initial and concurrent
review, case management, referral, pre-certification and
authorization policies, procedures and processes
- Act as a liaison with other business units and facilitate
on-going communications between case management and utilization
management staff, community agencies and contracted
- Provide oversight of telephonic review of inpatient admissions
with doctors, hospitals, and other providers
- Monitor the effectiveness for existing outreach efforts and
ensure appropriate knowledge/education and interventions are
conducted for members defined to be at risk
- Analyze data to address trends or potential quality improvement
opportunities including provider issues, service gaps and member
Education/Experience: RN license or Master's degree in Behavioral
Health or related field. 3+ years of case and/or utilization
management experience. Experience in a psychiatric health care
setting, including familiarity with mental health community
resources. Working knowledge of a specialized or technical field,
such as clinical nursing, case and/or utilization management.
Previous experience as a lead in a functional area or managing
cross functional teams on large scale projects.
License/Certification: Current state's unrestricted license as a
LCSW, LMFT, LMHC, LPC, PhD, PsyD or RN.
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.
Keywords: Centene Corporation, Palm Harbor , Behavioral Health Supervisor, Healthcare , Palm Harbor, Florida
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