Clinical Services Lead: Care Management & Transitions

Jobtome

Waltham (MA)

On-site

USD 46,000 - 90,000

Full time

6 days ago

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Job summary

Molina Healthcare seeks a lead-level clinical support professional to coordinate care across multiple healthcare services functions. You will work with a multidisciplinary team to ensure quality, cost-effective member care and provide guidance to staff.

The role emphasizes training, compliance, and collaboration with leadership, with local travel as needed and an emphasis on high-quality outcomes.

Qualifications

At least 4 years experience in health care and 2 years in managed care (utilization/care management, LTSS, or related).
Active clinical licensure as required by state contract and state regulations.
Demonstrated knowledge of community resources.
Proactive, detail-oriented, and self-motivated with strong communication.
Ability to work in diverse settings with varied populations and personalities.
Strong time management and prioritization skills; able to handle multiple projects.

Responsibilities

Provides lead level clinical support to healthcare services, coordinating care across teams.
Communicates/escalates issues to healthcare services leadership as needed.
Assists in training staff per department standards and procedures.
Maintains adherence to guidelines with a minimal caseload when necessary.
Collaborates with leadership to address operational and program needs.
Acts as a SME clinical lead, offering education to clinical and non-clinical staff.
Reviews workload, policies, and program requirements for compliance.