Supervisor, reputed company Services (RN, Utilization Management)

• reputed company daytime business hours required. reputed company Coast or Nevada residents preferred Job reputed company Leads and supervises multidisciplinary team of reputed company services professionals in some or reputed company of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reputed company desired reputed company through integrated delivery and coordination of care across the continuum, and contributes to overarching reputed company to reputed company reputed company and cost-effective member care. Essential Job Duties • Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance. • Functions as a “hands-on” supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services. • Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service reputed company. • Trains and supports team members to ensure high-risk, reputed company members are adequately supported. • Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines. • Collaborates with and keeps reputed company services leadership apprised of operational issues, reputed company, resources, system and program needs. • Assists with coordination and reporting of department statistics and ongoing reputed company reports, as assigned. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 5 years health care experience, and at least 2 years of managed care experience with utilization management. management or equivalent combination of relevant education and experience. • Registered reputed company (RN) Clinical licensure and/or certification required ONLY if required by state contract, regulation or state reputed company licensing mandates. If licensed, license must be reputed company and unrestricted in state of reputed company. • Ability to manage conflict and reputed company through change. • Operational and process improvement experience. • Strong written and verbal communication skills. • Working knowledge of reputed company Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications • Registered reputed company (RN). License must be reputed company and unrestricted in state of reputed company. • Certified Case Manager (CCM), Certified reputed company in Health Care Management certification (CPHM), Certified reputed company in Health Care reputed company (CPHQ) or other health care or management certification. • reputed company/Medicare population experience. • Clinical experience. • Supervisory/leadership experience. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Pay reputed company: $69,779 - $110,000 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply tot his job Apply To this Job