Supervisor, Healthcare Services - Remote/New Mexico

Remote Full-time
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance. • Functions as a “hands-on” supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services. • Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence. • Trains and supports team members to ensure high-risk, complex members are adequately supported. • Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines. • Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs. • Assists with coordination and reporting of department statistics and ongoing client reports, as assigned. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • Ability to manage conflict and lead through change. • Operational and process improvement experience. • Strong written and verbal communication skills. • Working knowledge of Microsoft Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. • Medicaid/Medicare population experience. • Clinical experience. • Supervisory/leadership experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHPO Pay Range: $66,456 - $129,590 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Apply tot his job
Apply Now →

Similar Jobs

Sterling Gentran Consultant - Erlanger, KY (Hybrid - 3 Days onsite)

Remote

Summer Intern

Remote

Remote Recruiter $17-$19 /hr. (MUST BE LOCATED IN WISCONSIN)

Remote

Financial Analyst, Property Tax Operations

Remote

Work-from-Anywhere Opportunities (No Exp. Needed-Start ASAP)™

Remote

[Entry Level/No Experience] Amazon Work from Home Jobs - Apply Now $30 hr ID-1534

Remote

Financial Service Rep entry Level

Remote

REMOTE SALES (Warm Leads + Uncapped Earnings + No Experience Needed)

Remote

Behavior Health IN-PERSON Hiring Event

Remote

Customer Service Advocate I - Korean Bilingual

Remote

Senior Backend Engineer (Remote)

Remote

Experienced Customer Strategy and Engagement Solutions Advisor – Sales Support and Business Development Expert

Remote

**Experienced Full Stack Customer Support Representative – Live Chat Assistant (Remote) – Entry-Level Opportunity for Career Growth**

Remote

**Experienced Remote Data Entry Specialist – Travel Data Management and Analysis**

Remote

Research Engineer, AI for Science

Remote

Complex Claims Adjuster, Workers Compensation

Remote

Community Intern, St. Louis

Remote

**Experienced Part-Time Remote Customer Support Representative – Flexible Data Entry and Customer Service Opportunities**

Remote

Special Education Paraprofessional - Temporary Hybrid Position in Minnesota: Supporting Diverse Student Needs

Remote

Experienced Remote/Hybrid Outbound Customer Service Representative for Home Improvement Services – Utilizing Exceptional Communication Skills to Drive Business Growth at blithequark

Remote
← Back