CA-Remote RN Director - Care Management Leader

your Jared; California, Northern (MO, KY); Hybrid; USD 102,000 - 198,000; Full time

Job summary

Molina Healthcare is seeking an experienced healthcare services leader to direct multidisciplinary teams in utilization management, care management, and behavioral health. The role emphasizes coordinating integrated care across the continuum while aligning with senior leadership on strategic objectives.

Required are extensive healthcare and managed care experience, leadership skills, and licensure as applicable.

Qualifications

• 8+ years in health care with managed care experience.
• 3+ years in health care management/leadership.
• RN/LVN/LPN or related licensure where required by state contract or regulation.
• Experience with state, federal, and third-party regulations.

Responsibilities

• Directs and oversees care management and utilization management functions.
• Leads multidisciplinary teams and drives integrated care delivery.
• Collaborates with senior leadership to set strategic plans and objectives.
• Promotes enterprise-wide standardized care coordination processes.
• Ensures monthly auditing and follow-up; engages in staff development.
• Local travel may be required based on state/contractual needs.

Skills

Healthcare experience

Managed care

Leadership

Regulatory compliance

Communication

Microsoft Office

Education

RN license

LCSW/LMFT/LPCC (as applicable)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced healthcare services leader to direct multidisciplinary teams in utilization management, care management, and behavioral health. The role emphasizes coordinating integrated care across the continuum while aligning with senior leadership on strategic objectives.

Required are extensive healthcare and managed care experience, leadership skills, and licensure as applicable.