Rn Program Manager, Hcs Training
4 weeks ago
For this position we are seeking a REGISTERED NURSE Program Manager to work with our CLINICAL SERVICES TRAINING TEAM to support our training programs.
**Preferred experience**: RN, with Nursing Informatics, clinical systems, technical and/or data analytics experience.
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
May engage and oversee the work of external vendors.
Focuses on process improvement, organizational change management, program management and other processes relative to the business.
Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
Works with operational leaders within the business to provide recommendations for process improvement opportunities.
Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
JOB QUALIFICATIONS
Required Education
Registered Nurse
Bachelor's or master’s degree in Nursing.
Required Experience
5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
Experience working within applicable state, federal, and third party regulations.
Required License, Certification, Association
If licensed, license must be active, unrestricted and in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Master's Degree preferred.
Preferred Experience
3+ years supervisory/management experience in a managed healthcare environment.
Medicaid/Medicare Population experience with increasing responsibility.
3+ years of clinical nursing experience.
Preferred License, Certification, Association
**Any of the following**:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
**Pay Range**: $65,791.66 - $142,548.59 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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