Columbus, GA · Remote
$88.45K - $168.98K/yr
Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ...
Columbus, GA · Remote
$88.45K - $168.98K/yr
Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ...
Columbus, GA · Remote
$65K - $80K/yr
Vision insurance Clinic Description Georgia Licensed Remote Mental Health Therapist As an ... Candidates are required to have a masters degree in one of the behavioral sciences or related ...
Quick apply
Columbus, GA · Remote
$65K - $80K/yr
Vision insurance Clinic Description Georgia Licensed Remote Mental Health Therapist As an ... Candidates are required to have a masters degree in one of the behavioral sciences or related ...
Remote (US-Based) Make a difference--one call at a time, with the freedom to serve on your terms ... In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired.
Remote (US-Based) Make a difference--one call at a time, with the freedom to serve on your terms ... In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired.
Remote (US-Based) Make a difference--one call at a time, with the freedom to serve on your terms ... In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired.
Remote (US-Based) Make a difference--one call at a time, with the freedom to serve on your terms ... In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired.
Columbus, GA · On-site +1
$19.50 - $23.50/hr
Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) * Status ... We blend high-tech with high touch in ways that are advancing superior health care throughout the ...
Columbus, GA · On-site +1
$19.50 - $23.50/hr
Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) * Status ... We blend high-tech with high touch in ways that are advancing superior health care throughout the ...
Auburn, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or Ph D is is preferred but not required Note: Payment is made via Pay Pal. We will never ask for any money from you. Pay Pal will handleany currency conversions ...
Auburn, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or Ph D is is preferred but not required Note: Payment is made via Pay Pal. We will never ask for any money from you. Pay Pal will handleany currency conversions ...
Phenix City, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions ...
Phenix City, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions ...
Opelika, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Opelika, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Fort Mitchell, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Fort Mitchell, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Cusseta, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions ...
Cusseta, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions ...
Phenix City, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Phenix City, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Lagrange, GA · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Lagrange, GA · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Lafayette, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or Ph D is is preferred but not required Note: Payment is made via Pay Pal. We will never ask for any money from you. Pay Pal will handleany currency conversions ...
Lafayette, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or Ph D is is preferred but not required Note: Payment is made via Pay Pal. We will never ask for any money from you. Pay Pal will handleany currency conversions ...
Fort Mitchell, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Fort Mitchell, AL · Remote
$50 - $60/hr
... in progress, or completed Masters and/or PhD is is preferred but not required Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handleany currency conversions ...
Richland, GA · Remote
$50 - $60/hr
... in progress, or completed Masters and/or Ph D is is preferred but not required Note: Payment is made via Pay Pal. We will never ask for any money from you. Pay Pal will handleany currency conversions ...
Richland, GA · Remote
$50 - $60/hr
... in progress, or completed Masters and/or Ph D is is preferred but not required Note: Payment is made via Pay Pal. We will never ask for any money from you. Pay Pal will handleany currency conversions ...
Our strength in healthcare innovation empowers us to build a world where complex diseases are ... This position is remote based within the US with the ability to work West Coast time zones. The ...
Our strength in healthcare innovation empowers us to build a world where complex diseases are ... This position is remote based within the US with the ability to work West Coast time zones. The ...
Columbus, GA · On-site +1
$65K - $80K/yr
Ellie Mental Health was founded in 2015 by Erin Pash, LMFT and Kyle Keller, LICSW when they opened ... This is a remote position. Compensation: $65,000.00 - $80,000.00 per year Seeking creative ...
Columbus, GA · On-site +1
$65K - $80K/yr
Ellie Mental Health was founded in 2015 by Erin Pash, LMFT and Kyle Keller, LICSW when they opened ... This is a remote position. Compensation: $65,000.00 - $80,000.00 per year Seeking creative ...
... health care at their convenience, all from the comforts of home. This is a remote, part-time ... Use Talkspace to fill in openings in your schedule or build a full caseload on our platform - up to ...
... health care at their convenience, all from the comforts of home. This is a remote, part-time ... Use Talkspace to fill in openings in your schedule or build a full caseload on our platform - up to ...
Columbus, GA · On-site +1
$55K - $77K/yr
Health insurance * Opportunity for advancement * Paid time off * Profit sharing * Training ... Candidates are required to have a masters degree in one of the behavioral sciences or related ...
Quick apply
Columbus, GA · On-site +1
$55K - $77K/yr
Health insurance * Opportunity for advancement * Paid time off * Profit sharing * Training ... Candidates are required to have a masters degree in one of the behavioral sciences or related ...
Columbus, GA · Remote
$40 - $60/hr
... flexibility of remote work and setting your own schedule. We are looking for a Medical Expert ... We are interested in a wide range of expertise, so relevant backgrounds include: MDs, PAs, and ...
Quick apply
Columbus, GA · Remote
$40 - $60/hr
... flexibility of remote work and setting your own schedule. We are looking for a Medical Expert ... We are interested in a wide range of expertise, so relevant backgrounds include: MDs, PAs, and ...
$38K - $48.1K
2% of jobs
$48.1K - $58.2K
10% of jobs
$64.5K is the 25th percentile. Wages below this are outliers.
$58.2K - $68.3K
21% of jobs
$68.3K - $78.4K
16% of jobs
The median wage is $79.3K / yr.
$78.4K - $88.5K
12% of jobs
$88.5K - $98.6K
7% of jobs
$105.9K is the 75th percentile. Wages above this are outliers.
$98.6K - $108.7K
10% of jobs
$108.7K - $118.8K
9% of jobs
$118.8K - $128.9K
4% of jobs
$128.9K - $138.9K
6% of jobs
$138.9K - $149K
3% of jobs
$38K
$88.1K
$149K
$88.45K - $168.98K/yr
Full-time
Posted 3 days ago
8.0
Based on 191 frontline employees who took The Breakroom Quiz
146th of 259 rated insurance
JOB DESCRIPTION
Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Directs and oversee one or more of the following key health care services functions: care management, utilization management, care transitions, long-term supports and services (LTSS), behavioral health, nurse advice line, and/or other special programs.
Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care coordination/care review and management.
Develops and promotes interdepartmental integration and collaboration to enhance clinical services.
Collaborates with and keeps healthcare services senior leadership informed of operational issues, staffing, resources, system and program needs and presents solutions/action plans for issues.
Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote a standardized enterprise-wide approach to healthcare services programs.
Ensures monthly auditing occurs with appropriate follow-up.
Engages in clinical training activities and outcomes.
Develops and mentors direct reporting healthcare services leadership.
Local travel may be required (based upon state/contractual requirements).
Required Qualifications
At least 8 years of health care experience, and at least 5 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.
At least 3 years of health care management/leadership required.
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, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Experience working within applicable state, federal, and third-party regulations.
Ability to manage conflict and lead through change.
Operational and process improvement experience.
Ability to work cross-collaboratively across a highly matrixed organization.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
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.
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: $88,453 - $168,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
