Care Manager RN, Behavioral Health, Multiple Areas in Florida

Molina Talent Acquisition

Florida

Sur place

USD 36 000 - 71 000

Plein temps

Il y a 4 jours
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Competitive benefits package

Résumé du poste

Molina Healthcare is seeking a Care Manager RN for multiple areas in Florida. The role supports pediatric members with behavioral health needs, coordinating care across BH, LTSS, and community resources.

Requires an active RN license, 2+ years in healthcare, and ability to travel locally 25–40%. Responsibilities include comprehensive assessments, care plan development, and ongoing monitoring to ensure quality outcomes and cost-effective care, with strong emphasis on communication and

Qualifications

  • Active RN license in practicing state.
  • 2+ years in health care or care management.
  • Strong communication and organizational skills.
  • Ability to travel 25–40% locally as needed.

Responsabilités

  • Complete comprehensive member assessments within regulatory timelines.
  • Develop and implement care coordination plans with the care team.
  • Conduct telephonic, in-person, or home visits as required.
  • Monitor and adjust care plans based on outcomes and barriers to care.
  • Maintain active member caseload and coordinate services across BH, LTSS, and community resources.
  • Facilitate ICT meetings and collaborate with team members.

Connaissances

RN license active
Communication skills
Independent work
Time management

Formation

RN license (state)
Certified Case Manager (CCM)

Outils

EMR software
Microsoft Office

Description du poste

Care Manager RN, Behavioral Health, Multiple Areas in Florida

FL, United States

Trending

Job Description

JOB DESCRIPTION

We are seeking RNs in the Miami area with BH experience who are passionate about supporting pediatric members and delivering high-quality care.

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
  • 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.
  • Assess 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

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Job Info
  • Job Identification 2038095
  • Job Category Clinical
  • Posting Date 07/07/2026, 08:46 PM
  • Job Schedule Full time
  • Locations 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
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