JOB DESCRIPTION Job Summary Uses leadership and/or equivalent specialty expertise (transplant, genetics, etc.) to provide advanced clinical managed care / clinical performance. May lead and manage a team of medical direc…
Skills: Clinical Managed Care, Utilization Management, Medical Necessity Review, Prior Authorization, Care Management
Field Care Manager, LTSS (LVN) - Local Travel Required
Long Beach, California, United States · On-site
$24/hr–$46/hr
Mid level$2.4B raised
JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicare members in the service delivery area around Pasadena, TX. You will complete assessments needed for det…
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This is a remote role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating…
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Job DetailsJob Location: Long Beach - Long Beach, CA 90805Position Type: Full TimeSalary Range: $85,000.00 - $100,000.00 SalaryOverview: The Clinical Operations Manager owns and drives the daily clinical operations of a …
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BeautyHealth
Warehouse Lead (Long Beach, CA)
Long Beach, California, United States · On-site
$23/hr–$27/hr
Mid level
About Us Hydrafacial is a global category-creating company focused on bringing innovative products to market and delivering beauty health experiences by reinventing our consumer’s relationship with their skin, their bodi…
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About Us We are a small, fast-moving team building next-generation gas turbine engines to power the future of aerospace, defense, and energy. Backed by leading investors and led by proven founders, we're assembling a hig…
Provides leadership and clinical expertise to oversee the appropriateness and medical necessity of services provided to members. Manages a team of medical directors to ensure quality, cost-effective care and regulatory compliance.
Requirements
Requires an MD or DO degree with board certification and an active license in the state of practice. Must have at least 8 years of relevant experience, including 2 years as a medical director in a managed care setting.
Full job description
JOB DESCRIPTION Job Summary
Uses leadership and/or equivalent specialty expertise (transplant, genetics, etc.) to provide advanced clinical managed care / clinical performance. May lead and manage a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care.
Position is based in WA
Essential Job Duties
Provides leadership and expertise in advanced clinical performance of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities.
• May lead a team of medical directors responsible for assessing appropriateness and medical necessity of health care services provided to plan members.
• Recruits, hires, trains, mentors and develops medical director staff as needed.
• Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due to fiscal or administrative incentives.
• Analyzes data and identifies medical cost-savings and quality improvement opportunities.
• Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and complaints from government and accreditation regulators.
• Develops medical policies and procedures as needed.
• Conducts peer review processes.
Required Qualifications
• At least 8 years of relevant experience, including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent combination of relevant education and experience.
• Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice.
• Board Certification.
• Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
• Demonstrated ability to make strategic decisions.
• Knowledge of health care regulatory and legislative processes, including ability to read and interpret legislation.
• Experience gaining consensus and collaborating in a highly matrixed organization.
• Experience demonstrating strong leadership, communication, consensus building, collaboration and financial acumen abilities.
• Evidence-based clinical criteria competency.
• Peer review, medical policy/procedure development, and provider contracting experience.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• At least 3 years management/leadership experience.
• Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other Health care or management certification.
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
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.
Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Managed CarePrimary Care ClinicsMedicaidand MedicareHospitalHealth CareManagement Information SystemsMedical
How many Management & Leadership jobs are open in Long Beach, CA right now?
There are currently 822 open management & leadership positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Management & Leadership roles in Long Beach, CA?
Companies currently hiring include Molina Healthcare, Vast, Rocket Lab, Relativity Space, SCAN, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Management & Leadership jobs in Long Beach, CA?
Yes — 226 of the 822 open management & leadership positions offer remote or hybrid work (55 remote, 171 hybrid).
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