Healthcare Services Lead: Care Management & Transitions

Molina Healthcare, Inc.; Texas; Remote; USD 66,000 - 130,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a leader to supervise a multidisciplinary team delivering integrated care across care management, utilization management, behavioral health, and LTSS.

The role drives outcomes through coordinated delivery, aligning with Molina’s clinical model and regulatory standards. The position emphasizes hands-on leadership, staff development, performance monitoring, and cross-functional collaboration to ensure high-quality, cost-effective member care.

Qualifications

• 5+ years of health care experience, incl. at least 2 years in managed care.
• RN/LVN/LPN or related licensure only if required by state contract or licensing mandates.
• Strong customer service and member-centric focus.

Responsibilities

• Oversees team performance in care management, utilization management, behavioral health, or LTSS.
• Facilitates proactive clinical management in line with regulatory standards.
• Leads day-to-day operations and improves care delivery efficiency.
• Ensures staffing adequacy and monitors productivity and service levels.
• Collaborates with senior leadership and ensures cross-department integration.

Skills

Team Leadership

Customer Service

Communication

Time Management

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a leader to supervise a multidisciplinary team delivering integrated care across care management, utilization management, behavioral health, and LTSS.

The role drives outcomes through coordinated delivery, aligning with Molina’s clinical model and regulatory standards. The position emphasizes hands-on leadership, staff development, performance monitoring, and cross-functional collaboration to ensure high-quality, cost-effective member care.