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JOB DESCRIPTION Job SummaryLeads 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.

Preferred licensure: Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC)

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.

• 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 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

• Licensed Social Worker (LSW/LISW) or Licensed Professional Counselor (LPC/LPCC). 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.