JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) Central Programs Department works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS Central Programs staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

Functions as clinical staff lead in the HCS-Central Programs Department. Responsibilities include supervisory capabilities and oversight of daily administrative functions including staffing, productivity, and work quality.

• Assists in training of all staff according to Department standards, policies, and procedures. Evaluates the work performance of the HCS-Central Programs staff. Consults with the Management of HCS-Central Programs to devise and implement corrective action as necessary to improve staff performance.
• Acts as a supportive resource to the HCS-Central Programs staff, assist in devising/implementing strategies of assignment division, facilitating HCS-Central Programs processes and communicating/coordinating HCS-Central Programs activities.
• Resolves problems and complaints that may arise in day-to-day operations that involve clinical HCS-Central Programs staff. Communicates findings to the Manager, HCS-Central Programs.
• Maintains a minimal caseload in all plans to ensure communication and appropriate guidelines are adhered to.
• Collaborates with and keeps HCS-Central Programs Management apprised of operational issues, staffing issues, system, and program needs.
• Monitors the HCS-Central Programs staff workload for adherence to the P&Ps & SOPs and deadlines. Assures oversight and direction of individuals primarily responsible and assures timely completion.
• As liaison to both internal and external customers on behalf of both Molina and the HCS-Central Programs areas, conducts self in a professional manner at all times. Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct.
• Attends/participates in departmental, company-wide, and external committees, task forces, or work groups, as assigned.
• Meets with staff on a monthly basis to discuss quality and productivity.
• Incumbents in this role must complete courses required to obtain licensure in all states.

JOB QUALIFICATIONS

Required Education

• Any of the following:
  • Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master’s degree in a social science, psychology, gerontology, public health or social work.

Required Experience

2+ years of hospital or medical clinic experience

Required License, Certification, Association

If licensed, license must be active, unrestricted and in good standing.

Preferred Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Preferred Experience

3-5 years clinical practice with managed care, hospital nursing or utilization management experience

Preferred License, Certification, Association

Active, unrestricted State Registered Nursing (RN) license in good standing.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $29.05 - $67.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.