Senior Clinical Lead: Care Management & LTSS

Jobtome; Alcony (OH); On-site; USD 40,000 - 78,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a lead level clinical support professional to assist the healthcare services team across care management, utilization management, LTSS, behavioral health, and related programs, coordinating member care with a multidisciplinary team.

You will work to ensure member progress toward outcomes, contribute to strategy for quality and cost-effective care, and support staff with training and escalation handling. Local travel may be required.

Qualifications

• Requires clinical licensure as applicable by state contract or regulation.
• Experience in health care settings with care management or utilization management.
• Strong communication, organization and problem-solving skills.

Responsibilities

• Provides lead level support to healthcare services staff—delegation and coordination of activities.
• Resolves day-to-day issues and communicates escalations to leadership.
• Trains healthcare services staff per department standards and procedures.
• Maintains a minimal caseload to meet guidelines and support staff.
• Collaborates with leadership to address operational and staffing needs.
• Provides SME clinical lead support and education to staff.
• Monitors workload for policy and program adherence.
• Participates in auditing for quality and compliance.
• Shares performance data with staff for awareness and improvement.
• Escalates corrective actions with leadership when needed.
• Collaborates on daily DARR and CMMT tasks as required.

Skills

Attention to detail

Proactive communication

Time management

Office software

Education

RN/LVN/LPN/LCSW/LMFT/LPCC/LMSW licensure

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a lead level clinical support professional to assist the healthcare services team across care management, utilization management, LTSS, behavioral health, and related programs, coordinating member care with a multidisciplinary team.

You will work to ensure member progress toward outcomes, contribute to strategy for quality and cost-effective care, and support staff with training and escalation handling. Local travel may be required.