Care Manager (RN - ECC) - Duval County, FL

Molina Healthcare

Jacksonville (FL)

On-site

USD 36,000 - 71,000

Full time

6 days ago
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Job summary

Molina Healthcare, Inc. is seeking a Care Manager (RN) in Duval County, FL to support care management and care coordination across the continuum. You will collaborate with multidisciplinary teams to ensure quality and cost-effective member care and strive toward outcomes.

The role requires an active RN license, potential travel of 25–40%, and experience in care management or related health settings. Certification as CCM is preferred, with opportunities for growth within Molina Healthcare’s

Qualifications

  • Minimum 2 years health care experience, preferably in care management.
  • Active RN license in state of practice.
  • Valid driver's license and reliable transportation.
  • Understanding of EMR and HIPAA.
  • Knowledge of community resources.
  • Ability to work independently with minimal supervision.
  • Excellent communication and time management skills.
  • Proficient in Microsoft Office and online portals.
  • Willingness to travel 25-40%.

Responsibilities

  • Complete comprehensive member assessments within regulated timelines.
  • Develop and implement care coordination plans with member and care team.
  • Conduct telephonic, in-person, or home visits as required.
  • Monitor care plans, document interventions and outcomes.
  • Maintain ongoing member caseload with regular outreach.
  • Promote integration of services across care continuum.
  • Facilitate ICT meetings and collaboration.
  • Educate and motivate member changes using motivational interviewing.
  • Identify barriers to care and address concerns.
  • May provide consultation and resources to peers.
  • May handle complex cases and medication reconciliation.

Skills

Communication
Time management
Problem solving
Interpersonal skills
Self-motivation

Education

RN license
CCM (preferred)

Tools

EMR software
Microsoft Office

Job description

Care Manager (RN - ECC) - Duval County, FL
Job Description

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.

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.
Required Qualifications
  • 25-40% estimated local travel may be required (based upon state/contractual requirements).
  • 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 2040093
  • Job Category Clinical
  • Posting Date 10/30/2026, 08:09 PM
  • Job Schedule Full time
  • Locations Jacksonville, 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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