Clinical Services Lead: Care Management & Transitions

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in Lakeland, FL seeks a lead clinical support professional to strengthen care management, utilization management, LTSS, and behavioral health programs, coordinating care with a multidisciplinary team to achieve quality and cost-effective member outcomes.

The role emphasizes delegation strategies, training, performance feedback, and daily reconciliation/reporting, with travel as needed per contract requirements.

Qualifications

• At least 4 years experience in health care and at least 2 years in one or more managed care areas.
• Registered Nurse (RN), LVN, LPN, LCSW, LMFT, LPCC, or LMSW; license active if required by state.
• Demonstrated knowledge of community resources.
• Proactive and detail-oriented.
• Strong time-management and prioritization skills.

Responsibilities

• Provides level support to healthcare services staff and coordinates activities.
• Resolves issues and escalates to leadership as needed.
• Assists in training of healthcare services staff per standards.
• Maintains a minimal caseload and supports ongoing member caseloads.
• Collaborates with leadership on operational issues and program needs.

Skills

Healthcare knowledge

Attention to detail

Independent work

Strong communication

Time management

Problem solving

MS Office proficiency

Education

Clinical licensure/certification

Tools

Microsoft Office

Job description

Molina Healthcare in Lakeland, FL seeks a lead clinical support professional to strengthen care management, utilization management, LTSS, and behavioral health programs, coordinating care with a multidisciplinary team to achieve quality and cost-effective member outcomes.

The role emphasizes delegation strategies, training, performance feedback, and daily reconciliation/reporting, with travel as needed per contract requirements.