Pediatric Care Manager RN — Care Coordination & Outcomes

Molina Healthcare, Inc.; Punta Gorda (FL); Sur place; USD 36 000 - 71 000; Plein temps

Résumé du poste

Molina Healthcare, Inc. seeks a Care Manager RN to support care coordination across the continuum in Punta Gorda, FL. The role collaborates with the care team to ensure desired outcomes and cost-effective member care.

Responsibilities include assessments, plan development, and ongoing care monitoring, with 25–40% local travel. Requires active RN license and EMR/HIPAA knowledge; benefits package offered.

Qualifications

• At least 2 years of health care experience, preferably in care management.
• RN license active and unrestricted in state of practice.
• Valid and unrestricted driver's license with reliable transportation.
• Understanding of EMR and HIPAA requirements.
• Knowledge of community resources and service options.
• Ability to work proactively with attention to detail.
• Ability to work independently across diverse settings.
• Strong communication and interpersonal skills.

Responsabilités

• Completes comprehensive member assessments within regulated timelines and identifies candidates for care management.
• Creates and implements a care coordination plan with the member and care team.
• Performs telephonic, in-person, or home visits as needed.
• Monitors care plan effectiveness and documents interventions and progress.
• Manages an ongoing member caseload with regular outreach.
• Promotes integration of behavioral health, LTSS, and community resources.
• Facilitates multidisciplinary care team meetings and collaboration.
• Educates and motivates members using motivational interviewing techniques.
• Identifies barriers to care and provides guidance to address them.
• May advise peers and provide consultative resources.
• Care managers may handle complex cases and medication reconciliation.

Connaissances

Communication

Time management

Problem solving

Critical thinking

Detail oriented

Independent worker

Multitasking

Team collaboration

Formation

Registered Nurse (RN) license

Outils

EMR systems

HIPAA compliance

Description du poste

Molina Healthcare, Inc. seeks a Care Manager RN to support care coordination across the continuum in Punta Gorda, FL. The role collaborates with the care team to ensure desired outcomes and cost-effective member care.

Responsibilities include assessments, plan development, and ongoing care monitoring, with 25–40% local travel. Requires active RN license and EMR/HIPAA knowledge; benefits package offered.