RN Supervisor, Healthcare Services UM must reside in GA

Molina Healthcare; Town of Gates (NY); Remote; USD 66,000 - 130,000; Full time

Job summary

A leading healthcare provider is looking for a Supervisor of Healthcare Services UM to lead a multidisciplinary team in care management and utilization management. The ideal candidate has extensive experience in healthcare, strong communication skills, and relevant nursing licensure. This position requires the ability to work efficiently in a fast-paced environment and offers a salary range of $66,456 - $129,590 annually, with remote work options for Georgia residents.

Benefits

Competitive benefits and compensation package

Qualifications

• 5+ years of health care experience, including at least 2 years in managed care.
• Ability to manage conflict and lead teams effectively.
• Strong operational and process improvement background.

Responsibilities

• Implement health management and care coordination strategies.
• Train staff and monitor performance to ensure high-quality care.
• Collaborate with healthcare leadership on operational issues.

Skills

Conflict management

Lead through change

Strong communication skills

Organizational skills

Problem-solving skills

Critical thinking

Education

Registered Nurse (RN) license

Licenses such as LVN, LPN, LCSW, LMFT

Tools

Microsoft Office Suite

Job description

Overview

The Supervisor, Healthcare Services UM leads and supervises a multidisciplinary team of healthcare services professionals in care management, utilization management, behavioral health, care transitions, LTSS, and/or other programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum and contributes to strategy to provide quality and cost-effective member care. This position supports the Georgia state plan and requires Georgia RN licensure and at least 3 years of UM experience. Strong organization, communication, technology proficiency, and time management skills are required. The role demands the ability to work in a high-volume environment. Previous supervisor experience is beneficial.

Work hours: Monday– Friday 8:00am – 5:00pm EST. Remote position; must reside in Georgia.

Responsibilities

• Assists in implementing health management, care management, utilization management, behavioral health, and other program activities in accordance with regulatory, contract standards, and accreditation compliance.
• Functions as a hands-on supervisor, assisting with assessing and evaluating systems, day-to-day operations, and efficiency of operations/services.
• Assists in coordinating orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence.
• Trains and supports team members to ensure high-risk, complex members are adequately supported.
• Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
• Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
• Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
• Local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 5 years of health care experience, and at least 2 years of managed care experience in one or more of the following areas: utilization management, care management, care transitions, behavioral health, LTSS, or equivalent combination of relevant education and experience.
• Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification are required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Ability to manage conflict and lead through change.
• Operational and process improvement experience.
• Strong written and verbal communication skills.
• Working knowledge of Microsoft Office suite.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving and critical-thinking skills.

Preferred Qualifications

• RN license active and unrestricted in state of practice. Certifications such as CCM, CPHM, CPHQ, or other health care/management certifications are a plus.
• Medicaid/Medicare population experience.
• Clinical experience.
• Supervisory/leadership experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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Pay Range: $66,456 - $129,590 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.