Clinical Services Lead: Care Management & Transitions

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

Job summary

Molina Healthcare seeks a lead clinical support professional to guide healthcare services teams across care management, utilization management, care transitions, LTSS, and behavioral health. You will help coordinate integrated member care and drive quality and cost-effective outcomes.

The role requires strong communication, problem-solving and organizational skills, with the ability to work in diverse settings and travel as needed. Local travel may be required depending on contracts.

Qualifications

• At least 4 years experience in health care and 2 years in managed care/related areas.
• RN/LVN/LPN/LCSW/LMFT/LPCC/LMSW license may be required depending on state rules.
• Demonstrated knowledge of community resources.
• Proactive, detail-oriented and able to work independently with minimal supervision.
• Strong verbal and written communication skills.

Responsibilities

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

Skills

Detail oriented

Time management

Communication skills

Problem solving

Collaboration

Tools

Microsoft Office

Job description

Molina Healthcare seeks a lead clinical support professional to guide healthcare services teams across care management, utilization management, care transitions, LTSS, and behavioral health. You will help coordinate integrated member care and drive quality and cost-effective outcomes.

The role requires strong communication, problem-solving and organizational skills, with the ability to work in diverse settings and travel as needed. Local travel may be required depending on contracts.