Clinical Services Lead - Care Management & Coordination

Molina Healthcare; Florida; On-site; USD 40,000 - 78,000; Full time

Job summary

Molina Healthcare is seeking a skilled clinical lead to provide support to the healthcare services team across care management, utilization management, LTSS, and behavioral health programs. The role focuses on ensuring member progress toward outcomes and contributing to cost-effective care within a collaborative, cross-functional setting.

The ideal candidate has RN/LVN/LPN or equivalent licensure with at least 4 years in health care and 2 years in managed care, plus strong communication, time

Qualifications

• At least 4 years in health care with 2+ years in managed care.
• Active clinical licensure if required by state contract.
• Strong communication and organizational skills.

Responsibilities

• Provides lead level clinical support to healthcare services team across multiple functions.
• Resolves day-to-day issues and communicates escalations to leadership.
• Assists in training of healthcare services staff per standards and procedures.
• Maintains a minimal caseload to ensure guideline adherence and staff support.
• Collaborates with leadership on operational and program needs.

Education

RN, LVN, LPN, LCSW, LMFT, LPCC, LMSW

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a skilled clinical lead to provide support to the healthcare services team across care management, utilization management, LTSS, and behavioral health programs. The role focuses on ensuring member progress toward outcomes and contributing to cost-effective care within a collaborative, cross-functional setting.

The ideal candidate has RN/LVN/LPN or equivalent licensure with at least 4 years in health care and 2 years in managed care, plus strong communication, time