Supervisor, Healthcare Services

Position Overview

We are seeking a (RN) Registered Nurse or Licensed Social Worker based in OHIO, licensed to practice in the state. In this role, you will supervise a team of case managers supporting Medicare/Medicaid members enrolled in the Waiver Program. Work is performed in a hybrid environment – remotely with required face-to-face assessments at members’ homes – and the schedule is Monday through Friday, 8:00 AM to 5:00 PM. A home office with high-speed internet connectivity is required.

The successful candidate leads and supervises a multidisciplinary team of healthcare professionals across functions including care management, utilization management, behavioral health, care transitions, and long-term services and supports (LTSS), ensuring integrated and cost-effective care for members.

Key Responsibilities

• Implement health management, care management, utilization management, behavioral health, and other program activities in accordance with regulatory, contractual, and accreditation standards.
• Function as a “hands-on” supervisor by assessing systems, day-to-day operations, and service efficiency.
• Coordinate and assist in orienting and training staff to maximize efficiency, productivity, and service excellence.
• Train and support team members to ensure high-risk, complex members are adequately managed.
• Oversee staff performance appraisals, monitor ongoing performance, and enforce protocols and guidelines.
• Collaborate with healthcare services leadership to address operational issues, staffing, resources, and program needs.
• Coordinate and report department statistics and client reports as assigned.
• Undertake local travel as required by state or contractual obligations.

Required Qualifications

• At least 5 years of healthcare experience with a minimum of 2 years in managed care (utilization management, care management, care transitions, behavioral health, LTSS, or equivalent education/experience).
• Valid licensure as a 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/certification is required only if mandated by state contract or regulations, and must be active and unrestricted.
• Proven ability to manage conflict and lead through change.
• Operational and process improvement experience.
• Strong written and verbal communication skills.
• Working knowledge of the Microsoft Office suite.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving, and critical-thinking skills.

Preferred Qualifications

• Registered Nurse (RN) with an active and unrestricted license.
• Certification such as Certified Case Manager (CCM), Certified Professional in Health Care Management (CPHM), or Certified Professional in Health Care Quality (CPHQ), or another relevant certification.
• Experience working with Medicaid/Medicare populations.
• Clinical experience.
• Supervisory/leadership experience.

Benefits & Perks

• Competitive benefits and compensation package.

Current Molina employees should apply through the Internal Job Board. Molina Healthcare is an Equal Opportunity Employer (M/F/D/V).