Care Manager (RN)

Molina Healthcare; LaBelle (FL); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare, Inc. is hiring a Registered Nurse for care management and coordination, serving members across the continuum in Florida. The role involves direct member contact, assessments, and collaboration with the care team to improve outcomes and cost-effective care.

The position requires a valid RN license, driving ability, and the use of EMR systems. Travel is expected, and strong communication skills are essential for success in diverse settings.

Qualifications

• At least 2 years experience in health care, preferably in care management, or equivalent combination of relevant education and experience.
• Active RN license (unrestricted).
• Valid driver’s license with reliable transportation for travel requirements.
• Understanding of EMR systems and HIPAA compliance.
• Ability to work independently and proactively in diverse settings.
• Strong written and verbal communication skills and time-management.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and determine eligibility for care management.
• Develop and implement care coordination plans with the member and care team.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plan effectiveness and document interventions and progress.
• Maintain ongoing member caseload and outreach.
• Promote integration of services across behavioral health, LTSS, and home resources.
• Facilitate ICT meetings and collaboration among teams.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and provide assistance or resources as needed.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel may be required (25-40% depending on state/contractual requirements).

Skills

RN license

EMR knowledge

HIPAA knowledge

Communication skills

Time management

Problem solving

Independence

Microsoft Office

Tools

EMR system

Microsoft Office

Job description

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
• Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• 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 self-motivation.
• Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

Preferred Qualifications

• Certified Case Manager (CCM).

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

Job Info

• Job Identification 2039975
• Job Category Clinical
• Posting Date 10/29/2026, 07:50 PM
• Job Schedule Full time
• Locations Labelle, FL, United States Clewiston, FL, United States
• Salary Range $26.41 - $51.49 Hourly *Actual compensation may vary based on geographic location, work experience, education and/or skill level