Healthcare Services Lead: Care Coordination & Management

Molina Healthcare, Inc.; Austin (TX); Remote; USD 95,000 - 130,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare, Inc. invites an experienced healthcare services leader to oversee a multidisciplinary team in care management, utilization management, behavioral health, LTSS, and related programs.

You will drive integrated care delivery and coordinate services across the continuum in alignment with Molina standards. Required is 5+ years in healthcare with managed care experience and active licensure for applicable clinical roles.

Qualifications

• At least 5 years of health care experience with 2+ years in managed care or equivalent.
• Active licensure as RN/LVN/LPN, LCSW, LMFT, LPCC or LMSW as required by state contract/regulation.
• Strong customer service and member-centric focus; excellent written and verbal communication.

Responsibilities

• Leads multidisciplinary team across care management, utilization management, behavioral health, LTSS, and special programs.
• Ensures regulatory and accreditation compliance with Molina clinical model.
• Acts as hands-on leader for systems assessment and day-to-day operations.
• Ensures staffing adequacy, service levels, and monitors productivity and performance indicators.
• Promotes interdepartmental collaboration and continuity of care.
• Oversees ICT meetings and analyzes care access and utilization statistics.

Skills

Customer service

Communication skills

Organization

Problem-solving

Education

RN

LVN/LPN

LCSW

LMFT

LPCC

LMSW

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. invites an experienced healthcare services leader to oversee a multidisciplinary team in care management, utilization management, behavioral health, LTSS, and related programs.

You will drive integrated care delivery and coordinate services across the continuum in alignment with Molina standards. Required is 5+ years in healthcare with managed care experience and active licensure for applicable clinical roles.