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2h ago Curated

RN Director, Healthcare Services

Molina Healthcare

Job description

Leads and directs a multidisciplinary team of healthcare services professionals in utilization management, care management, behavioral health and other programs. Responsible for assessing, facilitating, planning and coordinating integrated delivery of care across the continuum. Participates with senior leadership to establish strategic plans and objectives. Directs functions such as care management, utilization management, care transitions, LTSS, behavioral health, nurse advice line. Develops protocols, promotes interdepartmental integration, collaborates with senior leadership, facilitates committees, ensures auditing, engages in clinical training, and mentors direct reports. Local travel may be required.

Key responsibilities

  • Direct and oversee healthcare services functions (care management, utilization management, etc.)
  • Develop and implement standardized protocols for clinical and non-clinical team activities
  • Promote interdepartmental integration and collaboration
  • Collaborate with senior leadership on operational issues and solutions
  • Facilitate committees and multidisciplinary teams
  • Ensure monthly auditing with follow-up
  • Engage in clinical training activities
  • Develop and mentor direct reporting leadership

What you bring

  • 8+ years healthcare experience, 5+ years managed care in UM, CM, etc.
  • 3+ years healthcare management/leadership
  • Active RN license in California (preferred)
  • Experience with state, federal, and third-party regulations
  • Conflict management and change leadership
  • Operational and process improvement
  • Cross-collaborative skills
  • Organizational and problem-solving skills
  • Microsoft Office proficiency

Tags

RemoteCalifornia RN LicenseManaged CareUtilization ManagementCare ManagementLeadership

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