Remote RN Director, Inpatient Utilization

Molina Healthcare; California (MO); On-site; USD 102,000 - 198,000; Full time

Job summary

Molina Healthcare is seeking an experienced healthcare leader based in California, with strong RN licensure and extensive delegation experience in IPA settings. The role directs a multidisciplinary team to coordinate integrated care, with focus on utilization and care management across the continuum.

The position emphasizes collaboration with senior leadership, program development, and enterprise-wide care delivery improvements, including potential travel as needed.

Qualifications

• 8+ years health care experience with 5+ years in managed care or related areas.
• 3+ years health care management/leadership.
• RN or equivalent licensure with active state license when required by contract/regulation.

Responsibilities

• Leads multidisciplinary healthcare services teams across care management, utilization management and related programs.
• Develops and promotes standardized protocols for care coordination and review.
• Collaborates with senior leadership on strategic plans and enterprise-wide program issues.
• Mentors healthcare services leadership and participates in committees and workgroups.
• Local travel may be required based on state/contractual requirements.

Skills

Leadership

Communication

Problem-solving

Time management

Conflict management

Regulatory compliance

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced healthcare leader based in California, with strong RN licensure and extensive delegation experience in IPA settings. The role directs a multidisciplinary team to coordinate integrated care, with focus on utilization and care management across the continuum.

The position emphasizes collaboration with senior leadership, program development, and enterprise-wide care delivery improvements, including potential travel as needed.