Remote RN Director - Utilization & Care Management

Molina Healthcare, Inc.; San Diego (CA); Remoto; USD 102.000 - 198.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare, Inc. is seeking an experienced healthcare services leader in California to guide cross-functional teams in utilization and care management, with an emphasis on quality and cost-effective member care.

The role requires strong clinical leadership, regulatory knowledge, and a proven ability to drive standardized processes. This full-time position supports remote-work within California, with travel as needed, and requires active RN licensure and extensive managed care experience.

Competenze

• At least 8 years health care experience with 5+ years in managed care.
• 3+ years healthcare management/leadership.
• Licensure must be active and unrestricted in state of practice.

Mansioni

• Directs care management and utilization management functions across teams.
• Develops standardized protocols to coordinate integrated care.
• Collaborates with senior leadership to address operational issues.
• Leads committees and cross-functional teams to standardize enterprise-wide programs.
• Ensures monthly audits and compliance.

Conoscenze

RN licensure required

Leadership in healthcare

Utilization management

Care management

Formazione

Registered Nurse (RN) or equivalent

Strumenti

Microsoft Office

Healthcare IT systems

Descrizione del lavoro

Molina Healthcare, Inc. is seeking an experienced healthcare services leader in California to guide cross-functional teams in utilization and care management, with an emphasis on quality and cost-effective member care.

The role requires strong clinical leadership, regulatory knowledge, and a proven ability to drive standardized processes. This full-time position supports remote-work within California, with travel as needed, and requires active RN licensure and extensive managed care experience.