Pediatric Care Manager RN - Care Coordination & Outcomes

Molina Healthcare, Inc.; Fort Myers (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare, Inc. in Fort Myers, FL is seeking a Care Manager RN to coordinate member care across the continuum, collaborating with a multidisciplinary team to achieve quality, cost-effective outcomes.

The role involves assessments, developing care plans, coordinating services, and travel to member homes as required. Candidates must have an active RN license and at least 2 years in healthcare, with HIPAA/EMR knowledge and strong communication skills.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• RN license active and unrestricted in state of practice.
• Valid driver's license, reliable transportation for travel requirements.
• Understanding of EMR and HIPAA.
• Knowledge of community resources.
• Ability to work independently and detail-oriented.
• Ability to work with diverse populations and adjust style.
• Strong communication and time-management skills.
• Proficiency with Microsoft Office and online portals.

Responsibilities

• Completes comprehensive assessments of members per regulated timelines and determines eligibility for care management.
• Develops and implements care coordination plan with member, caregiver and health professionals.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors care plans and documents interventions and goal achievement.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services including behavioral health, LTSS, and home/community resources.
• Leads ICT meetings and collaboration.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and provides resources to address concerns.
• May provide consultation to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.

Education

RN license

Job description

Molina Healthcare, Inc. in Fort Myers, FL is seeking a Care Manager RN to coordinate member care across the continuum, collaborating with a multidisciplinary team to achieve quality, cost-effective outcomes.

The role involves assessments, developing care plans, coordinating services, and travel to member homes as required. Candidates must have an active RN license and at least 2 years in healthcare, with HIPAA/EMR knowledge and strong communication skills.