• RN Supervisor, Healthcare Services

    Molina Healthcare (Sacramento, CA)


    **California Registered Nurse.

    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: care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience or equivalent combination of relevant education and experience.

     

    • Registered Nurse (RN),

    • 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.

     

    RN Must be licensed for the state of California. California is not a compact state.

    Preferred Qualifications

    • 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. (hospital / acute care)

    • Supervisory/leadership experience. (overseeing clinical staff for Transition of Care)

     

    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: $76,425 - $149,028 / ANNUAL

    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.