Supervisor, Healthcare Services (Dane County)

Molina Healthcare•Long Beach, WI

About The Position

Leads and supervises a multidisciplinary team of healthcare services professionals in functions such as care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members achieve desired outcomes through integrated care delivery and coordination across the continuum, contributing to the overarching strategy of providing quality and cost-effective member care.

Requirements

At least 5 years of healthcare experience, and at least 2 years of managed care experience in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or an equivalent combination of relevant education and experience.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in the state of practice.
Ability to manage conflict and lead through change.
Operational and process improvement experience.
Strong written and verbal communication skills.
Working knowledge of Microsoft Office suite.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving, and critical-thinking skills.

Nice To Haves

Registered Nurse (RN). License must be active and unrestricted in the state of practice.
Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other health care or management certification.
Medicaid/Medicare population experience.
Clinical experience.
Supervisory/leadership experience.

Responsibilities

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 evaluating 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 excellence.
Trains and supports team members to ensure high-risk, complex members are adequately supported.
Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system, and program needs.
Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
Local travel may be required (based upon state/contractual requirements).