Clinical Services Lead — Care Management & Transitions

Molina Healthcare, Inc.

West Palm Beach (FL)

On-site

USD 40,000 - 78,000

Full time

3 days ago

Be an early applicant

A complete application in a minute

Tailored resume and cover letter, ready to send.

Get past ATS filters

Job summary

Molina Healthcare in Florida is seeking a lead level clinical support professional to assist the healthcare services team across care management, utilization management, LTSS, behavioral health, and related programs. You will guide staff, monitor workflows, and help ensure quality and cost-effective member care while maintaining confidentiality and regulatory compliance.

Responsibilities include delegating tasks, training staff, coordinating with leadership, auditing quality and productivity,

Qualifications

Healthcare and managed care experience in utilization management, care management, LTSS or related areas.
Clinical licensure and/or certification required if state contract or regulations demand.
Strong communication and organizational skills.

Responsibilities

Provide lead level clinical support to healthcare services staff and coordinate activities.
Resolve operational issues and escalate to leadership as needed.
Train healthcare services staff according to policies and procedures.
Monitor staff workload and ensure adherence to guidelines.
Participate in auditing programs to improve quality and compliance.