Role 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.
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Collaborate with courts, county administrators, providers, law enforcement, and other system partners to implement coordinated and effective judicial processes impacting enrolled members.
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Serve as primary contact for assigned courts and system partners and liaison between the system partners, members, and the company.
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Monitor the performance of the providers of Justice System services.
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Establish baseline data; collect, analyze and report outcomes and progress in reaching program goals.
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Verify justice system provider services are delivered in accordance to contract expectations.
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Support the coordination of services among system partners, including crisis providers and intake agencies.
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Identify gaps in services to justice system involved members and develop and oversee the implementation of program initiatives to address gaps in services.
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Conduct root causes analyses, conduct rapid cycle improvement processes.
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Conduct cross departmental and cross system collaborative meetings to execute initiatives and resolve system issues.
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Receive and respond to external justice system partner related issues in a timely manner.
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Request corrective action plans from providers that are non-compliant and/or fail to meet contract requirements.
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Troubleshoot service delivery and coordination issues on behalf of justice system partners.
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Educate justice system partners regarding policies and procedures related to referrals, website education, and problem solving.
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Implement and monitor project plans to meet goals and timelines.
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Develop innovative solutions to justice system issues including implementation of pilot justice system programs in response to identified gaps in services or program development needs.
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Promote the implementation of specialized Evidence Based Practices to meet the unique needs of justice involved members.
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Advocate for the implementation of Peer and Family Support Services, Peer and Family Run Organization development, wrap-around and community-based services, and “Road to Recovery” services geared toward helping members live successfully in their communities.
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Perform other duties as assigned.
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Comply with all policies and standards.
Qualifications
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Bachelor’s degree in psychology, criminal justice, social sciences or related field or equivalent experience; Master’s degree preferred.
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4+ years of related experience in a behavioral health managed care setting, including 3+ years of experience focused on working with programs and services associated with the Justice System.
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Demonstrated understanding of the challenges facing adults with SMI and knowledge of community reentry programs services.
Requirements
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Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
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This is a remote position; however, preference to candidates who reside in Arizona.
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Some local travel throughout Arizona will be required as part of the role.
Benefits
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Competitive pay.
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Health insurance.
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401K and stock purchase plans.
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Tuition reimbursement.
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Paid time off plus holidays.
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Flexible approach to work with remote, hybrid, field or office work schedules.