Care Manager (RN) - Hillsborough County, FL

Molina Talent Acquisition; Wimauma (FL); Hybride; USD 36 000 - 71 000; Plein temps

Résumé du poste

Molina Healthcare is hiring a Pediatric Care Manager (RN) to support care coordination across the continuum in Hillsborough County, FL. The role involves assessing members, developing care plans with clinicians and families, and traveling to member sites as required.

This position requires an active RN license, strong communication skills, and ability to work in a hybrid environment. The nurse will partner with the ICT and primary care teams to improve outcomes and reduce costs.

Qualifications

• At least 2 years of health care experience, preferably in care management or related setting.
• RN license active and unrestricted in state of practice.
• Valid driver's license with reliable transportation for job-related travel.
• Understanding of EMR systems and HIPAA.

Responsabilités

• Provide care management and care coordination across the care continuum.
• Develop and implement care plans with the member and care team.
• Conduct telephonic, in-person, or home visits as required.
• Monitor progress and modify care plans as needed.
• Maintain a caseload and outreach to members regularly.
• Coordinate with behavioral health, LTSS, and community resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Use motivational interviewing to support behavior change.
• Identify and address barriers to care.
• May consult with peers and address complex cases.
• Travel 25–40% as required by state/contractual needs.

Connaissances

Care coordination

EMR/HIPAA knowledge

Communication skills

Time management

Independent work

Team collaboration

Problem solving

Travel readiness

Formation

RN license - active

Driver's license

Description du poste

Pediatric Care Manager (RN) - Hybrid in Hillsborough County, FL

Wimauma, FL, United States and 1 more

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.
• 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 2040054
• Job Category Clinical
• Posting Date 11/02/2026, 03:54 PM
• Job Schedule Full time
• Locations Wimauma, FL, United States Ruskin, 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