Supervisor, Healthcare Services

Overview

For this position we are seeking a (RN) Registered Nurse and/or a Licensed Social Worker who lives in Kentucky and must be licensed for the state of Kentucky. We are looking for a supervisor with clinical experience and some leadership in Behavioral Health. The Supervisor will manage a team of transition of care case managers. Excellent computer skills and attention to detail are important to multitask between systems.

Previous leadership experience is preferred.

Remote role (must reside in state of KY) - Home office with internet connectivity of high speed required.

Schedule:

Monday through Friday 8:00 AM to 5:00 PM EST (No Weekends or Holidays).

• Lead and supervise a multidisciplinary team of healthcare services professionals in functions such as care management, utilization management, behavioral health, care transitions, LTSS, and other programs as applicable.
• Ensure members reach desired outcomes through integrated delivery and coordination of care across the continuum; contribute to strategy to provide quality and cost-effective member care.
• Assist in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation requirements.
• Serve as a hands-on supervisor, assessing and evaluating systems, day-to-day operations, and efficiency of operations/services.
• Assist in orienting and training staff to ensure maximum efficiency, productivity, program implementation, and service excellence.
• Train and support team members to ensure high-risk, complex members are adequately supported.
• Assist with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
• Collaborate with and keep healthcare services leadership informed of operational issues, staffing, resources, system and program needs.
• Assist with coordination and reporting of department statistics and ongoing client reports, as assigned.
• Local travel may be required (based upon state/contractual requirements).

• At least 5 years of healthcare experience, and at least 2 years of managed care experience in one or more of the following areas: utilization management, care management, care transitions, behavioral health, LTSS, or equivalent combination of education and experience.
• Licensure: RN, LVN, LPN, LCSW, LMFT, LPCC, or LMSW. Clinical licensure and/or certification required ONLY if required by state contract, regulation or licensing mandates. If licensed, license must be active and unrestricted in the 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.

• Active RN license in state of practice.
• Certified Case Manager (CCM), Certified Professional in Health Care Management (CPHM), Certified Professional in Health Care Quality (CPHQ) or other relevant certification.
• Medicaid/Medicare population experience.
• Clinical experience and 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

Pay Range: $63,133 - $ / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.