Centene Corporation Behavioral Health Director (Lenexa, KS) in Wichita, Kansas

ProfessionalPosition Purpose: 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 URAC and NCQA guidelines as well as state mandates. Responsible for implementation of new business as appropriate including participation in RFP writing and in policy modification as needed for new lines of business

  • Oversee the implementation of new lines of business.

  • Develop clinical initiatives and monitor ICM, UR and disease management programs.

  • Develop and maintain departmental policies and procedures.

  • Develop program descriptions and evaluate programs to meet set guidelines.

  • Ensure clinical initiatives are consistent with URAC, NCQA and state mandates.

  • Coordinate with health plan Medical Management departments and clients.

  • Interface with network development and Quality Improvement.

TITLE: Behavioral Health Director (Lenexa, KS)

LOCATION: Wichita, Kansas

REQNUMBER: 1091427

COMPANY: Clinical & Nursing

POSITION TYPE: Professional