Supv, Healthcare Services, Peer Support Team (Must Reside in FL)

Molina Healthcare•Long Beach, CA

3h•Remote

About The Position

Molina Healthcare of Florida is hiring for a Supervisor, Healthcare Services for their Peer Support team. This role will provide clinical supervision to a team of 10 peer and family peer specialists and measure and collect outcomes for members served by the team. The position will also act as a Peer Specialist resource to the Molina FL team. The role 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. The goal is to ensure members reach desired outcomes through integrated delivery and coordination of care across the continuum, and to contribute to the overarching strategy of providing quality and cost-effective member care.

Requirements

At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or 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 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.
Must reside in Florida.

Nice To Haves

Certified Peer Specialist or Certified Family Support Specialist
Clinical License preferred
Supervisory experience
Program Management experience preferred
Experience in designing, managing, and collecting outcomes on clinical programs
Registered Nurse (RN). License must be active and unrestricted in 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 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 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).