Remote WA Director, Utilization & Care Management

Jobtome; Renton (WA); Remote; USD 88,000 - 198,000; Full time

Job summary

Molina Healthcare is seeking a senior healthcare services leader in Washington state. The role is remote, but candidates must be local to Washington and support PST hours.

You will oversee teams delivering utilization management, care coordination, behavioral health, and special programs, ensuring alignment with state and federal standards. You will drive process improvements, monitor performance, and collaborate across departments to ensure high-quality, cost-effective member care.

Qualifications

• 8+ years in health care with managed care experience in utilization management, care management or related areas.
• 3+ years of management/leadership experience.
• Active clinical licensure/certification if required by contract/regulation; otherwise not required.

Responsibilities

• Oversees performance for healthcare services functions including utilization management, behavioral health, or special programs.
• Ensures compliance with regulatory and accrediting standards and Molina clinical model.
• Develops and monitors standardized protocols for care coordination and management.
• Promotes interdepartmental collaboration and staff development.
• Leads and supports day-to-day operations and staffing to maintain service levels.

Skills

Customer service

Communication skills

Organizational skills

Microsoft Office

Team leadership

Education

RN licensure

LPN licensure

LCSW licensure

LMFT licensure

LPCC licensure

LMSW licensure

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a senior healthcare services leader in Washington state. The role is remote, but candidates must be local to Washington and support PST hours.

You will oversee teams delivering utilization management, care coordination, behavioral health, and special programs, ensuring alignment with state and federal standards. You will drive process improvements, monitor performance, and collaborate across departments to ensure high-quality, cost-effective member care.