Service Specialist Jobs at Molina Healthcare with Visa Sponsorship

Job Summary

Leads and supervises a multidisciplinary team of healthcare services professionals supporting members with long-term services and supports (LTSS) needs - ensuring members reach desired outcomes through integrated delivery and coordination of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Job Duties

• Oversees team responsible for delivering long-term services and supports (LTSS) member care.
• Functions as a hands-on supervisor - providing direction and guidance to long-term services and supports (LTSS) care coordination team, and ensuring timely delivery of appropriate/quality services delivery and compliance with regulatory timelines.
• Manages staff LTSS caseloads and assigns cases appropriately with regard to complexity of medical or psychosocial needs, licensure requirements, and care manager experience.
• Oversees staff use of the electronic case management documentation system - ensuring compliance with Molina processes, standard documentation styles, established regulations and Health Insurance Portability and Accountability Act (HIPAA).
• Arranges and facilitates staff training as needed.
• Identifies improvement potential and develops process and procedure improvements in collaboration with leadership.
• Serves as a resource to service coordinators in cases requiring social service interventions, and cases with complex needs or potential for high-risk complications.
• Monitors clinical and non-clinical team activities to facilitate an integrated care approach with individualized service plans.
• Assists leadership with state-specific LTSS reporting requirements.
• Participates in internal and external work committees designed to enhance work performance.
• Collaborates with healthcare services leadership to ensure adequate staffing and service levels for LTSS membership maintains member and customer satisfaction by implementing and monitoring staff productivity and performance indicators.
• Promotes multidisciplinary collaboration, provider outreach, collaboration with county social workers or other assigned care managers, and engagement of family and caregivers to enhance the continuity of care for members.
• Oversees interdisciplinary care team (ICT) meetings.
• Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of department-specific goals.
• Local travel may be required (based upon state/contractual requirements).

REQUIRED QUALIFICATIONS:

• At least 5 years of experience in health care, including at least 2 years experience in a health care delivery network supporting long-term services and supports (LTSS) and in-home supportive services (IHSS), or equivalent combination of relevant education and experience.
• At least 1 year of health care management/leadership experience.
• Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT), Doctor of Psychology (PhD or PsyD). 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.
• Knowledge and experience with disability and senior access issues.
• Demonstrated knowledge of community resources.
• Proactive and detail-oriented.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships with individuals.
• Strong time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Ability to work cross functionally within a highly matrixed organization.
• Excellent verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.

PREFERRED QUALIFICATIONS:

• Management/leadership experience.
• Experience working with in-home supportive services (IHSS), public authorities, and community-based organizations (CBOs).

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

LOCATION

Remote and must live in Wisconsin