Director, Inpatient Care & Utilization Management

Molina Talent Acquisition; California; Remote; USD 120,000 - 180,000; Full time

Job summary

Molina Healthcare in California seeks an experienced healthcare leader to direct multidisciplinary teams in utilization management, care management, and related programs. The role emphasizes collaboration with senior leadership to improve quality and cost-effectiveness while ensuring licensure requirements and state contract compliance.

Responsibilities include implementing standardized protocols, coordinating care across departments, and mentoring senior healthcare services staff.

Qualifications

• At least 8 years health care experience and 5+ years in managed care.
• At least 3 years health care management/leadership.
• Active licensure (RN/LVn/LPN/LCSW/LMFT/LPCC/LMSW) in state of practice, if licensed.
• Experience with state, federal, and third-party regulations.
• Ability to lead through change and manage multiple deadlines.

Responsibilities

• Directs and oversees care management, utilization management, LTSS, and related programs.
• Develops and promotes standardized protocols for care coordination.
• Collaborates with senior leadership and promotes interdepartmental integration.
• Engages in committees and cross-functional teams to standardize care.
• Monitors monthly auditing and follows up on findings.
• Provides clinical training and mentors healthcare services leadership.
• Occasional local travel may be required.

Skills

Communication skills

Problem-solving

Organizational skills

Change management

Conflict management

Time management

Microsoft Office proficiency

Education

RN license

LCSW / LMSW license

Certification in healthcare management

Tools

Microsoft Office

Job description

Molina Healthcare in California seeks an experienced healthcare leader to direct multidisciplinary teams in utilization management, care management, and related programs. The role emphasizes collaboration with senior leadership to improve quality and cost-effectiveness while ensuring licensure requirements and state contract compliance.

Responsibilities include implementing standardized protocols, coordinating care across departments, and mentoring senior healthcare services staff.