Job Summary

Molina Healthcare Services (HCS) 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 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

Completes onsite assessments of clinical teams in collaboration with a VP of Clinical Ops or Medical Director

Proactively identifies problem areas and researches background and potential solutions.

Develops clinical team improvement plans in collaboration with a VP of Clinical Ops or a Medical Director

Assists clinical teams with barrier removal to improve performance

Assists clinical teams with clinical priorities and training needs

Acts as an interim AVP of HCS during periods of leadership vacancies

Orients and supports new AVPs of HCS to their role and responsibilities

Utilizes excellent verbal and written communication

Utilizes advanced teambuilding and conflict resolution skills

Demonstrated ability to manage multiple complex project successfully

Assists MHI Clinical Training team as needed

25- 50% travel required.

Job Qualifications

Required Education

Graduate Degree or equivalent combination of education and experience

Required Experience

7 years of utilization and/or case management experience

7 years management experience

Preferred Education

Master's Degree in Health Related field (Nurse Practitioner, Masters of Health Administration, MBA with Healthcare emphasis)

Preferred Experience

10 years of utilization and/or case management experience

10 years management experience

Preferred License, Certification, Association

RN

CCM, CPHM, CPHQ

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: $122,430.44 - $238,739.35 / ANNUAL

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