Clinical Services Lead: Care Management & Transitions

Jobtome; Fort Myers (FL); On-site; USD 40,000 - 78,000; Full time

Job summary

Molina Healthcare is seeking a lead clinical support professional to bolster its healthcare services team across care management, utilization management, LTSS, and behavioral health. You will coordinate with a multidisciplinary group to drive quality and cost-effective member care. You will train staff, monitor workload, address issues, and report findings.

Local travel may be required. Requires RN/LVN/LPN or equivalent licensure and 4+ years in healthcare with managed care experience.

Qualifications

• Requires at least 4 years in healthcare with managed care experience.
• Must hold or be eligible for clinical licensure as per state contracts.
• Strong communication and time-management skills required.

Responsibilities

• Provides lead-level clinical support to healthcare services teams across multiple programs.
• Resolves day-to-day issues in healthcare services operations and escalates as needed.
• Trains staff and monitors workload to ensure policy adherence and quality.

Skills

Healthcare experience

Managed care experience

Attention to detail

Time management

Communication skills

Microsoft Office

Education

RN/LVN/LPN/LCSW/LMFT/LPCC/LMSW license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a lead clinical support professional to bolster its healthcare services team across care management, utilization management, LTSS, and behavioral health. You will coordinate with a multidisciplinary group to drive quality and cost-effective member care. You will train staff, monitor workload, address issues, and report findings.

Local travel may be required. Requires RN/LVN/LPN or equivalent licensure and 4+ years in healthcare with managed care experience.