Oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination. Responsible for clinical initiatives and oversight to ensure processes are consistent with NCQA guidelines as well as state mandates. Ensure the clinical vision and philosophy is conveyed to all staff and supporting integration efforts through interface with Health Plan leadership teams.
Master’s degree in Behavioral Health or Registered Nurse required. 5+ years of related experience in utilization management or case management.
Licenses/Certifications: Unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN licensed in applicable state(s).
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.