Supervisor, Long Term Care position at Molina Healthcare Inc. in Houston

Molina Healthcare Inc. is hiring Supervisor, Long Term Care on Tue, 28 Aug 2012 15:45:56 GMT. Supervisor, Long Term Care Location: West Houston, TX This is a Registered Nurse and Non-remote position Position Summary Under the supervision of the Director of Utilization Management, the supervisor is responsible for the daily operations outpatient Utilization Management. Interacts with Medical Directors, UM department staff and providers to deliver cost effective, quality of care services to...

Supervisor, Long Term Care

Location: Houston Texas

Description: Molina Healthcare Inc. is hiring Supervisor, Long Term Care right now, this position will be placed in Texas. For complete informations about this position opportunity kindly read the description below. Location: West Houston, TX This is a Registered Nurse and Non-remote position Position Summary Under the supervision of the Director of Utilization Management, the supervisor is responsible for the daily operations outpatient Utilization Management. Interacts with Medical Directors, UM department staff and providers to deliver cost effective, quality of care services to Molina members, in accordance with Molina policies, procedures and processes. Provide administrative and leadership support to staff. Duties and Responsibilities Maintain established referral turnaround times required by NCQA and department policy Function as direct supervisor of staff in Outpatient Utilization Management (UM) areas; responsible for daily administrative functions, including staffing, productivity, work quality and focusing on a high level of customer service Attend outpatient case review conferences. Assist in interviewing potential UM staff Orient, train and evaluate the work performance of UM staff Consult with UM Director to devise and implement corrective action or disciplinary measures necessary to improve staff performance Perform timely employee annual evaluations Act as both a clinical and administrative resource to UM staff in assessing member needs, devising/implementing plans of care, facilitating UM process and communicating/coordinating UM activities Collaborate with and keep the UM Director apprised of operational issues, staffing issues, system and program needs. Assist with development of UM related programs, and development and evaluation of periodic work plans. Attend/participate in departmental, company-wide, and external committees, task forces, or work groups, as assigned Act as a liaison to both internal and external customers on behalf of both Molina and the UM areas, conducts self in a professional manner at all times Maintain cooperative and effective workplace relationships and adhere to company Code of Conduct Monitor UM workload for adherence to required turnaround times and deadlines Assure oversight and direction of individuals primarily responsible and assure timely completion Identify and report under and over utilization issues, delays in service or treatment, and quality of care issues per established policy/procedure Perform other duties as assigned Comply with required workplace safety standards Knowledge, Skills and Abilities Excellent organizational skill with the ability to manage multiple priorities Excellent verbal and written communication skills Ability to abide by Molina's policies Maintain regular attendance based on agreed-upon schedule Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) Ability to establish and maintain positive and effective work relationships with coworkers, clients, members Qualifications Required Education Bachelors degree in Nursing or related field required (equivalent combination of experience/education will be considered in lieu of Degree) Preferred Education Masters degree in Nursing or related field Required Experience 3+ years clinical nursing experience, with 2 years in Utilization Management Prior supervisory experience Perform independently and handle multiple projects simultaneously Knowledge of applicable state, federal and third party regulations Experience with NCQA Ability to take initiative and see tasks to completion Computer Literacy (Microsoft Office Products) Required Licensure/Certification Case Mgr. (CCM), UM (CPUM) or other certification. Current Texas RN license Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V See Job Description
- .
If you were eligible to this position, please email us your resume, with salary requirements and a resume to Molina Healthcare Inc..

If you interested on this position just click on the Apply button, you will be redirected to the official website

This position starts available on: Tue, 28 Aug 2012 15:45:56 GMT

Apply Supervisor, Long Term Care Here