Remote Director, Health Services & Care Management

Molina Healthcare

Washington

À distance

USD 88 000 - 198 000

Plein temps

14 jours+

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Résumé du poste

Molina Healthcare is seeking a Nursing/Clinical leadership role based in Washington state. The position is remote, with requirements to be local to WA and support Pacific Standard Time hours.

You will lead a multidisciplinary team delivering utilization management, behavioral health, and care transition services to ensure high-quality, cost-effective member care. You will partner with senior leaders, standardize protocols, monitor performance, and drive cross-functional collaboration across the

Qualifications

  • 8+ years health care experience with managed care background.
  • 3+ years of management/leadership experience.
  • Active RN/LVN/LPN or social work license if required by state contract.
  • Strong customer service and member-centric focus.
  • Ability to work across diverse settings and teams.

Responsabilités

  • Oversees team performance in utilization management, behavioral health, and care transitions.
  • Implements standardized protocols for proactive care coordination and management.
  • Promotes interdepartmental integration to enhance clinical services.
  • May function as a hands-on leader to improve day-to-day operations.
  • Monitors staff productivity and key performance indicators.
  • Collaborates with senior leadership to address operational needs and solutions.
  • Oversees interdisciplinary care team (ICT) meetings.
  • Analyses care access and utilization statistics for optimization.

Connaissances

Leadership
Customer service
Communication
Collaboration
Organization
MS Office

Formation

RN/LVN/LPN or social work license

Outils

Microsoft Office

Description du poste

Molina Healthcare is seeking a Nursing/Clinical leadership role based in Washington state. The position is remote, with requirements to be local to WA and support Pacific Standard Time hours.

You will lead a multidisciplinary team delivering utilization management, behavioral health, and care transition services to ensure high-quality, cost-effective member care. You will partner with senior leaders, standardize protocols, monitor performance, and drive cross-functional collaboration across the

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