for the following job posting:
molina Healthcare seeks Manager of Healthcare Services in Ohio
CLEVELAND, OHIO - [Date of Publication] – Molina Healthcare, a Fortune 500 organization dedicated too providing healthcare to those receiving government assistance, is actively recruiting a Manager of Healthcare Services for locations across Ohio, including Cleveland, Columbus, Cincinnati, Toledo, and Akron. This position,identified as Job ID 2033415,offers a competitive salary range of $65,791.66 – $148,548.59 annually, commensurate with experience and location.Role Overview
The Manager of Healthcare Services will provide operational management and oversight of integrated Healthcare Services (HCS) teams. These teams focus on delivering the right care to Molina Healthcare members at the right time and place, ultimately helping them achieve optimal clinical, financial, and quality of life outcomes. This role requires a strong understanding of managed healthcare and a commitment to improving patient care.
Key Responsibilities
Team Leadership: Manage and evaluate team member performance, providing coaching, counseling, employee development, and recognition.Oversee the selection, orientation, and mentoring of new staff.
Operational Management: Facilitate integrated, proactive HCS management, ensuring compliance with state and federal regulations and the Molina Clinical Model.
Interdepartmental Collaboration: Promote interdepartmental and multidisciplinary integration and collaboration to enhance the continuity of care, including Behavioral Health and Long-Term Services & Supports.
Daily Supervision: Function as a hands-on manager, supervising and coordinating daily healthcare service activities.
Performance Monitoring: Ensure adequate staffing and service levels, monitoring staff productivity and performance indicators to maintain customer satisfaction.
Data Analysis & Reporting: Collect and report on Care Access and Monitoring statistics, including plan utilization, staff productivity, cost-effectiveness, and triage activities.
Quality Assurance: Complete staff quality audit reviews, evaluate services provided, and reccommend improvements for programs and staff development.
Provider Relations: Maintain professional relationships with the provider community, internal and external customers, and state agencies.
Qualifications
Education: A Registered Nurse (RN) license or equivalent combination of a Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with relevant experience. A Bachelor’s or Master’s degree in Nursing, Gerontology, Public Health, Social Work, or a related field is also acceptable.
Experience: Minimum of 5 years of managed healthcare experience, including at least 3 years in utilization management, case management, care transition, and/or disease management.A minimum of 2 years of healthcare or health plan supervisory/managerial experience overseeing clinical staff is required.
Licensure/Certification: Active, unrestricted license (if applicable) and a valid driver’s license with a good driving record.
Preferred Qualifications: master’s degree,3+ years of supervisory/management experience in a managed healthcare habitat,Medicaid/Medicare population experience,and certifications such as Certified Case Manager (CCM),Certified Professional in Healthcare Management (CPHM),or Certified Professional in Health Care Quality (CPHQ).
Equal Chance Employer
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
To Apply
Current Molina Healthcare employees should apply through the internal job listing.
