Clinical Services Lead: Care Management & Transitions

Jobtome; West Palm Beach (FL); On-site; USD 40,000 - 78,000; Full time

Job summary

Molina Healthcare is seeking a lead clinical support professional to back the healthcare services team across care management, utilization management, LTSS, and behavioral health. You will help coordinate care, monitor outcomes, and contribute to strategies that deliver high-quality, cost-effective member care.

In this role you will train staff, manage assignments, track workload, support audits, and liaise with internal and external customers.

Qualifications

• At least 4 years experience in health care.
• Licensed nursing or equivalent clinical licensure as required by state contract or regulation.
• Knowledge of community resources.
• Excellent time-management and prioritization skills, with the ability to work on multiple projects.

Responsibilities

• Provides lead level clinical support to the healthcare services team across care management, utilization management, LTSS and behavioral health.
• Resolves issues and escalates as needed to healthcare services leadership.
• Trains healthcare services staff according to department standards and procedures.
• Maintains a minimal caseload to ensure guideline adherence and support ongoing member cases.
• Collaborates with leadership to address operational issues and staffing needs.
• Acts as subject matter expert to provide education to clinical and non-clinical staff.

Skills

Detail oriented

Independent worker

Time management

Communication skills

Problem solving

Healthcare knowledge

Adaptability

Education

RN license

LVN/LPN license

LCSW/LMFT/LPCC/LMSW license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a lead clinical support professional to back the healthcare services team across care management, utilization management, LTSS, and behavioral health. You will help coordinate care, monitor outcomes, and contribute to strategies that deliver high-quality, cost-effective member care.

In this role you will train staff, manage assignments, track workload, support audits, and liaise with internal and external customers.