Pediatric Care Manager RN - Care Coordination & Home Visits

Jobtome; Port Charlotte (FL); On-site; USD 36,000 - 70,000; Full time

Job summary

Molina Healthcare seeks an experienced RN Care Manager to support care coordination, assessments and plan development across care teams. You will collaborate with members, caregivers, physicians, and providers to drive outcomes, using motivational interviewing and clinical guidelines.

Responsibilities include telephonic or in-person visits, ongoing plan monitoring, and ensuring integration of behavioral health, LTSS, and community resources. Travel up to 40% may be required.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• Registered Nurse (RN) with active license.
• Valid driver’s license and reliable transportation for travel.
• Understanding of EMR and HIPAA.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong time-management and prioritization.
• Excellent communication skills.
• Experience with diverse populations.
• Experience with various patient settings.

Responsibilities

• Completes comprehensive member assessments within regulated timelines.
• Develops and implements care coordination plans with the member, caregiver, physician and team.
• Performs telephonic, face-to-face or home visits as required.
• Monitors care plan effectiveness and documents interventions.
• Maintains ongoing member caseload for outreach and management.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team (ICT) meetings and collaboration.
• Uses motivational interviewing and clinical guidelines to educate and motivate change.
• Assesses barriers to care and provides assistance to address concerns.
• May provide consultation and resources to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel 25-40% as required by state/contractual requirements.

Skills

Care coordination

Assessment

Communication

HIPAA compliance

Interpersonal skills

Education

RN license

Tools

EMR systems

Job description

Molina Healthcare seeks an experienced RN Care Manager to support care coordination, assessments and plan development across care teams. You will collaborate with members, caregivers, physicians, and providers to drive outcomes, using motivational interviewing and clinical guidelines.

Responsibilities include telephonic or in-person visits, ongoing plan monitoring, and ensuring integration of behavioral health, LTSS, and community resources. Travel up to 40% may be required.