$66K - $129K/yr
... 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 ...
$66K - $129K/yr
... 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 ...
$66K - $129K/yr
... 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 ...
Long Beach, CA · On-site
$66K - $129K/yr
... 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 ...
Long Beach, CA · On-site
$66K - $129K/yr
... 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 ...
Miami, FL · On-site
$85 - $120/hr
Oversee day to day operations of the department and ensure its overall successful long-term ... Master's Degree in Social Work, Marriage and Family Therapy or Mental Health Counseling, preferred ...
Miami, FL · On-site
$85 - $120/hr
Oversee day to day operations of the department and ensure its overall successful long-term ... Master's Degree in Social Work, Marriage and Family Therapy or Mental Health Counseling, preferred ...
$52K - $78K/yr
Previous healthcare, supply chain or materials management experience Additional Job Requirements ... Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran ...
$52K - $78K/yr
Previous healthcare, supply chain or materials management experience Additional Job Requirements ... Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran ...
Six months Long Term Health Care experience preferred. Licenses/Certifications: Current Certified ... Other duties as assigned by Supervisor Tennessee Health Management, Inc. is an EQUAL OPPORTUNITY ...
Six months Long Term Health Care experience preferred. Licenses/Certifications: Current Certified ... Other duties as assigned by Supervisor Tennessee Health Management, Inc. is an EQUAL OPPORTUNITY ...
... long-term growth and business development efforts. * Identify opportunities to expand services ... Experience with project management methods and tools * Experience with consulting methodologies ...
Quick apply
... long-term growth and business development efforts. * Identify opportunities to expand services ... Experience with project management methods and tools * Experience with consulting methodologies ...
Williamstown, NJ · Hybrid
$48 - $50/hr
Our complete spectrum of services will allow you to apply your skills in multiple settings while ... Collaborate with physicians and other health care providers in managing medication therapy to ...
Quick apply
Williamstown, NJ · Hybrid
$48 - $50/hr
Our complete spectrum of services will allow you to apply your skills in multiple settings while ... Collaborate with physicians and other health care providers in managing medication therapy to ...
$18.50 - $23.50/hr
... long-term outcomes, through integrated healthcare and research. Compass Government Solutions is seeking a Referral Management Services Clerk to support the Puget Sound Military Appointing Center ...
$18.50 - $23.50/hr
... long-term outcomes, through integrated healthcare and research. Compass Government Solutions is seeking a Referral Management Services Clerk to support the Puget Sound Military Appointing Center ...
Six months Long Term Health Care experience preferred. Licenses/Certifications: Current Certified ... Other duties as assigned by Supervisor Tennessee Health Management, Inc. is an EQUAL OPPORTUNITY ...
Six months Long Term Health Care experience preferred. Licenses/Certifications: Current Certified ... Other duties as assigned by Supervisor Tennessee Health Management, Inc. is an EQUAL OPPORTUNITY ...
... services managers and field technicians; preparing site specific safety plans; identifying and ... Additionally, this position requires the ability to develop and maintain strong long-term client ...
... services managers and field technicians; preparing site specific safety plans; identifying and ... Additionally, this position requires the ability to develop and maintain strong long-term client ...
Hazelwood, MO · On-site
$115K - $152K/yr
Senior Software Engineer - Vehicle Health Management Company: The Boeing Company The Boeing Company ... This position in the Boeing Global Services (BGS) organization will primarily support Boeing ...
Hazelwood, MO · On-site
$115K - $152K/yr
Senior Software Engineer - Vehicle Health Management Company: The Boeing Company The Boeing Company ... This position in the Boeing Global Services (BGS) organization will primarily support Boeing ...
MA · Remote
$175K - $225K/yr
... long-term growth. What You Will Do: * Develop and execute the commercial strategy to drive revenue ... A choice of national medical and dental plans, and a national vision plan, including health ...
MA · Remote
$175K - $225K/yr
... long-term growth. What You Will Do: * Develop and execute the commercial strategy to drive revenue ... A choice of national medical and dental plans, and a national vision plan, including health ...
Huntsville, AL · On-site
$24 - $32.50/hr
Participate in a variety of nursing assessments, direct patient care, and health education services ... Experience - One year of nursing experience working in a Long Term Health Care Facility or ...
Huntsville, AL · On-site
$24 - $32.50/hr
Participate in a variety of nursing assessments, direct patient care, and health education services ... Experience - One year of nursing experience working in a Long Term Health Care Facility or ...
$220K - $330K/yr
Develop the long-term vision and product strategy for the Services vertical. * Build a ... Experience in appointment-based software, field service platforms, healthcare technology ...
$220K - $330K/yr
Develop the long-term vision and product strategy for the Services vertical. * Build a ... Experience in appointment-based software, field service platforms, healthcare technology ...
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare ... Claims, Customer Service, related care management units) to ensure end-to-end process for ...
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare ... Claims, Customer Service, related care management units) to ensure end-to-end process for ...
$80K - $85K/yr
Colonial Behavioral Health provides opportunities for recovery to individuals and their family ... We are currently recruiting for an Administrator-MH/SUD Case Management Services, a leadership ...
$80K - $85K/yr
Colonial Behavioral Health provides opportunities for recovery to individuals and their family ... We are currently recruiting for an Administrator-MH/SUD Case Management Services, a leadership ...
Burlington, VT · On-site
$60K - $65K/yr
Coordinate services with various campus partners including Physical Plant, Grounds, Facilities ... Coordinate with the Business Manager and Associate Director to create short term and long-term ...
Burlington, VT · On-site
$60K - $65K/yr
Coordinate services with various campus partners including Physical Plant, Grounds, Facilities ... Coordinate with the Business Manager and Associate Director to create short term and long-term ...
$37.67 - $45.94/hr
Abiding by being responsible for performing all duties in accordance with all environmental, health ... Short and Long-term disability insurance * Retirement benefits * Onsite day care Why Fermilab:
$37.67 - $45.94/hr
Abiding by being responsible for performing all duties in accordance with all environmental, health ... Short and Long-term disability insurance * Retirement benefits * Onsite day care Why Fermilab:
$19.25/hr
Pay Rate: $19.25 per hour As a Cash Management Services Teller, you work with your team to ensure ... Health & Dental Insurance * Vision Insurance * 401(k) Plan * Basic Life Insurance Plan * Voluntary ...
$19.25/hr
Pay Rate: $19.25 per hour As a Cash Management Services Teller, you work with your team to ensure ... Health & Dental Insurance * Vision Insurance * 401(k) Plan * Basic Life Insurance Plan * Voluntary ...
$15.50 - $19.25/hr
As Cash Management Services Teller, you work with your team to ensure the safe and secure ... Health & Dental Insurance * Vision Insurance * 401(k) Plan * Basic Life Insurance Plan * Voluntary ...
$15.50 - $19.25/hr
As Cash Management Services Teller, you work with your team to ensure the safe and secure ... Health & Dental Insurance * Vision Insurance * 401(k) Plan * Basic Life Insurance Plan * Voluntary ...

8.0
Based on 199 frontline employees who took The Breakroom Quiz
164th of 308 rated insurance
JOB DESCRIPTION Job Summary
Leads 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, business operating model, 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
Pay Range: $66,456 - $129,590 / 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