Clinical Services Lead: Care Management & Coordination

Molina Healthcare

Lakeland (FL)

On-site

USD 40,000 - 78,000

Full time

3 days ago

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Job summary

Molina Healthcare seeks an experienced clinical lead to provide lead-level support across care management, utilization management, LTSS, and behavioral health. You will coordinate with multidisciplinary teams, maintain caseloads, and guide staff through processes to improve member outcomes and cost-effective care.

The role requires nursing or clinical licensure as applicable, strong communication, and ability to adapt in a dynamic healthcare environment.

Qualifications

At least 4 years in health care with 2+ years in managed care areas (utilization/care management, LTSS, or related).
Licensure in RN/LVN/LPN/LCSW/LMFT/LPCC/LMSW with active, unrestricted license as required by contract.
Knowledge of community resources and ability to work with diverse populations.
Proactive, detail-oriented and able to work independently with minimal supervision.
Strong communication skills, both verbal and written; proficient in MS Office.
Experience in coordinating with multidisciplinary teams and leadership.

Responsibilities

Provide lead-level clinical support to the healthcare services team across care, utilization, LTSS, and behavioral health.
Develop delegation strategies and facilitate healthcare service processes.
Train staff per department standards and policies; ensure quality and compliance.
Maintain a manageable caseload and support ongoing member care.
Escalate issues to leadership and communicate operational needs.
Collaborate with leadership on reports, audits, and performance feedback.
Coordinate with DARR and CMMT processes to ensure compliance.