Supervisor, Behavioral Health - Housing Job at Sunshine State Health Plan
You could be the one who changes everything for our 26 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: Responsible for supervising the day to day operations of the Behavioral Health Care Managers and ensuring compliance with federal and state regulations. This role will be responsible for supporting the care management team through case file reviews and monthly audit review of the care managers.
Supervise the daily activities of staff to promote quality improvement and efficient methods.
Coordinate the training of care management staff and ensure staff is able to facilitate member and provider behavioral health needs.
Partner with Utilization Management staff to monitor behavioral health utilization to identify and address potential behavioral health under -or over-utilization.
Oversee subcontracts related to behavioral health services
Assist in recruitment efforts in accordance to the staff to member ratio
Assign cases and oversee care management caseloads including service care plan approval and member case file reviews.
Maintain compliance with federal and state regulations and contractual agreements.
Education/Experience: Bachelor's degree in Social Services, Psychology, Health Administration, or related field. 4+ 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.
For Florida only License Requirement: LCSW, LCMHC, LMFT or other Mental Health Professional license
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.
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Position Purpose: Responsible for supervising the day to day operations of the Behavioral Health Care Managers and ensuring compliance with federal and state regulations. This role will be responsible for supporting the care management team through case file reviews and monthly audit review of the care managers.
Supervise the daily activities of staff to promote quality improvement and efficient methods.
Coordinate the training of care management staff and ensure staff is able to facilitate member and provider behavioral health needs.
Partner with Utilization Management staff to monitor behavioral health utilization to identify and address potential behavioral health under -or over-utilization.
Oversee subcontracts related to behavioral health services
Assist in recruitment efforts in accordance to the staff to member ratio
Assign cases and oversee care management caseloads including service care plan approval and member case file reviews.
Maintain compliance with federal and state regulations and contractual agreements.
Education/Experience: Bachelor's degree in Social Services, Psychology, Health Administration, or related field. 4+ 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.
For Florida only License Requirement: LCSW, LCMHC, LMFT or other Mental Health Professional license
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.
Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.