RN Manager, Healthcare Services & Care Management

Molina Healthcare; San Diego (CA); On-site; USD 84,000 - 164,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer (EOE)

Job summary

Molina Healthcare in Southern California seeks an experienced Managed Care Leader to drive care management, utilization management, and related services across the continuum. This role requires a strong track record in MCO environments, leadership of 2–3 years, and a focus on member-centered outcomes.

The position emphasizes cross-functional collaboration, regulatory compliance, and performance optimization to deliver high-quality, cost-effective member care.

Qualifications

• 7+ years of healthcare experience with 3+ years in managed care (MCO)
• 1+ year of management/leadership experience
• Active clinical licensure if required by state contract/regulation

Responsibilities

• Leads a multidisciplinary team in care management, utilization management, behavioral health, LTSS, and/or special programs.
• Ensures care delivery aligns with Molina's clinical model and regulatory standards.
• Monitors staffing, productivity, and performance indicators to maintain service levels and customer satisfaction.
• Collaborates with senior leadership and cross-functional teams to improve member outcomes and efficiency.

Skills

Leadership

Healthcare management

Care management

Team leadership

Regulatory compliance

Education

RN license

Bachelor's degree in health field

Job description

Molina Healthcare in Southern California seeks an experienced Managed Care Leader to drive care management, utilization management, and related services across the continuum. This role requires a strong track record in MCO environments, leadership of 2–3 years, and a focus on member-centered outcomes.

The position emphasizes cross-functional collaboration, regulatory compliance, and performance optimization to deliver high-quality, cost-effective member care.