Manager, Healthcare Services - Remote

Overview

The Manager, Healthcare Services provides operational management and oversight of integrated Healthcare Services (HCS) teams responsible for providing Molina Healthcare members with the right care at the right place at the right time and assisting them to achieve optimal clinical, financial, and quality of life outcomes.

In Short

• Seeking a (RN) Registered Nurse or LCSW licensed in Virginia.
• Support a team of field Nurse Case Managers for Medicaid Behavioral Members.
• Remote position within Virginia with occasional office meetings in Richmond.
• Manage and evaluate team member performance and provide coaching.
• Ensure compliance with state and federal regulations.
• Promote interdepartmental collaboration for continuity of care.
• Responsible for staffing and service level maintenance.
• Collate and report on Care Access and Monitoring statistics.
• Maintain professional relationships with providers and state agencies.

Requirements

• 5+ years of managed healthcare experience.
• 3+ years in utilization management, case management, or disease management.
• 2+ years of supervisory or managerial experience in healthcare.
• Active, unrestricted RN license or equivalent.
• Valid driver's license with good driving record.

Benefits

• Competitive benefits and compensation package.
• Flexible working hours to support team needs.
• Opportunities for professional development and training.
• Supportive work environment focused on quality care.