Supervisor, Healthcare Services

Position Overview

Leads and supervises a multidisciplinary team of healthcare services professionals in areas including care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS) and/or other special programs. Ensures members reach their desired outcomes through integrated delivery and coordination of care across the continuum and contributes to the overarching strategy to provide quality and cost-effective member care.

Key Responsibilities

• 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 by assessing and evaluating systems, day-to-day operations, and service efficiency.
• Coordinates orientation and training of staff to ensure maximum efficiency, productivity, program implementation, and service excellence.
• Trains and supports team members so that high-risk, complex members are adequately supported.
• Assists with staff performance appraisals, continuous performance monitoring, and application of protocols and guidelines.
• Collaborates with healthcare services leadership to report operational issues, staffing, resource, system, and program needs.
• Coordinates and reports department statistics and ongoing client reports as assigned.
• Local travel may be required based on state or contractual requirements.

Required Qualifications

• At least 5 years of healthcare experience with a minimum of 2 years in managed care in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS) or an 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 is required if mandated by state contract, regulation, or state board licensing; licenses must be active and unrestricted in the state of practice.
• Ability to manage conflict and lead through change.
• Experience in operational and process improvement.
• 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) with an active and unrestricted license in the state of practice.
• Certification such as Certified Case Manager (CCM), Certified Professional in Health Care Management (CPHM), Certified Professional in Health Care Quality (CPHQ), or another relevant healthcare or management certification.
• Experience working with Medicaid/Medicare populations.
• Relevant clinical experience.
• Supervisory and leadership experience.

Benefits & Perks

• Salary: $80,168 - $155,508 / ANNUAL
• Compensation: Actual compensation may vary based on geographic location, work experience, education and/or skill level.
• Benefits: Competitive benefits package offered by Molina Healthcare.
• Employment Type: Full Time