Talent.com
No longer accepting applications
Supervisor, Healthcare Services; Care Management (Remote - GA)

Supervisor, Healthcare Services; Care Management (Remote - GA)

Molina HealthcareDayton, OH, US
1 day ago
Job type
  • Full-time
  • Remote
Job description

Job Title

This position will offer remote work flexibility, but the individual selected for the role must reside in Georgia.

Job Summary

Leads and supervises multidisciplinary team of healthcare services professionals in some or all 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 reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality 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 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).

Required Qualifications

  • 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 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. Preferred Qualifications

  • 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.
  • Create a job alert for this search

    Service Supervisor • Dayton, OH, US

    Related jobs
    • Promoted
    Travel Registered Nurse (RN) - Hospice - $1,980 per week in Greenville, OH

    Travel Registered Nurse (RN) - Hospice - $1,980 per week in Greenville, OH

    TravelNurseSourceGreenville, OH, US
    Full-time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Hospice RN in Greenville, Ohio, 45331!.Client in OH seeking Registered Nurse : Hospice. We are looking for a healthcare profes...Show moreLast updated: 11 days ago
    • Promoted
    Travel Nurse RN - OR - Operating Room

    Travel Nurse RN - OR - Operating Room

    Malone Healthcare - NursingGreenville, OH, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Greenville, Ohio. Job Description & Requirements.Orthopedic Operating Room Nurse\n\nSched...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Supervisor

    Clinical Supervisor

    FCS, IncXenia, OH, US
    Full-time
    NEW! LISW or LPCC needed full time for a growing outpatient clinic in Ohio! Addiction and recovery with an adult population. Call Molly Brown at (800)-783-9152, Ext.You may also email ad...Show moreLast updated: 30+ days ago
    • Promoted
    LSW, RN Care Manager

    LSW, RN Care Manager

    Area Agency on AgingDayton, OH, US
    Full-time
    No Weekends! No holidays! No On Call! No Nights! The Area Agency on Aging team hires caring, compassionate Licensed Social Workers and Registered Nurses to help our consumers receive the services t...Show moreLast updated: 30+ days ago
    Field Supervisor - Biohazard Mitigation

    Field Supervisor - Biohazard Mitigation

    ServiceMasterClayton, OH, US
    Full-time
    Ready to join a successful company that’s growing?.Aftermath Services is currently hiring a Field Supervisor for our Dayton (Clayton), OH shop. Job Time Hourly Rate : $30 - $36.Driver’s license and a...Show moreLast updated: 30+ days ago
    • Promoted
    Nurses : Tired of Nights? We've Got Your Day Shift!

    Nurses : Tired of Nights? We've Got Your Day Shift!

    Southern Health PartnersGoshen, OH, US
    Full-time
    Rise & Shine, Nurse! Your Day Shift Awaits!.Campbell County Detention Center.Hour Day Shift Rotation | Alternating Weekends. Make a Real Difference While the World Wakes Up.Calling all compassionate...Show moreLast updated: 3 days ago
    • Promoted
    Clinical Apps Portfolio Leader

    Clinical Apps Portfolio Leader

    Pennant GroupDayton, OH, US
    Full-time
    Clinical Applications Portfolio Leader.Pennant Services is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries.A...Show moreLast updated: 1 day ago
    RN Director of Patient Care Services

    RN Director of Patient Care Services

    GpacMason, Ohio, United States
    Full-time
    Quick Apply
    Director of Patient Care Services (DPCS) – Registered Nurse (RN).Full-Time | Leadership Role | Hospice & Home Health.We are seeking an experienced and compassionate .Director of Pati...Show moreLast updated: 22 days ago
    • Promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Continuum Medical StaffingMason, OH, US
    Permanent +1
    Continuum Medical Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Mason, Ohio.Job Description & Requirements. Continuum Medical Staffing Job ID #27943.Pay package i...Show moreLast updated: 24 days ago
    • Promoted
    Supervisor Clinic RN

    Supervisor Clinic RN

    Providence Health and ServicesDayton, OH, United States
    Full-time
    Description The Clinical Staff Supervisor coordinates and manages the clinical support staff and the clinical workflows and activities within the clinic. This position functions as a integral member...Show moreLast updated: 7 days ago
    • Promoted
    Clinical Director / Supervisor

    Clinical Director / Supervisor

    FCS, IncGreenville, OH, US
    Full-time
    NEW! Supervisor needed to manage regional area of their mental health and addiction services offices.Manage 5 locations and counselors serving multiple counties. Call 800-783-9152 ext 244 or E-mail : ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Stepdown Cardiac RN - $3,169 per week

    Travel Stepdown Cardiac RN - $3,169 per week

    PRIDE HealthDayton, OH, US
    Full-time
    PRIDE Health is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Dayton, Ohio.Job Description & Requirements. PRIDE Health is the minority-owned healthcare recru...Show moreLast updated: 30+ days ago
    • Promoted
    Wellness Director

    Wellness Director

    StoryPointWest Milton, OH, US
    Full-time
    Director Of Nursing / Wellness Director.The Wellness Director is responsible for the overall direction, administration and coordination of clinical resident care services by delivering a 1440 experie...Show moreLast updated: 2 days ago
    • Promoted
    Operations Supervisor

    Operations Supervisor

    CVS HealthDayton, OH, US
    Full-time +1
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...Show moreLast updated: 2 days ago
    • Promoted
    Supervisor TA Operations

    Supervisor TA Operations

    Universal Technical InstituteDayton, OH, US
    Full-time
    Supervisor, Talent Acquisition (TA) Operations.The Supervisor, Talent Acquisition (TA) Operations leads the onboarding function and oversees core onboarding activities, including background check a...Show moreLast updated: 2 days ago
    • Promoted
    SUPERVISOR- PATIENT FINANCIAL SVS

    SUPERVISOR- PATIENT FINANCIAL SVS

    Premier HealthDayton, OH, US
    Full-time
    Supervisor Of Patient Financial Services.The Supervisor Patient Financial Services (PFS) will be responsible for ensuring timely billing and collections and optimal reimbursement from third party p...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Fairfield, OH

    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Fairfield, OH

    AlliedTravelCareersFairfield, OH, US
    Full-time
    AlliedTravelCareers is working with CompHealth to find a qualified Physical Therapist (PT) in Fairfield, Ohio, 45014!.CompHealth exists to make the locums process easier. Not only will we search for...Show moreLast updated: 11 days ago
    • Promoted
    Director, Healthcare Services; Utilization Management (Remote - GA)

    Director, Healthcare Services; Utilization Management (Remote - GA)

    Molina HealthcareDayton, OH, US
    Remote
    Full-time
    Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Remove all emojis, sp...Show moreLast updated: 1 day ago