Pediatric Care Manager RN — Hybrid and Impactful Coordination

Molina Healthcare, Inc.; Wimauma (FL); Hybrid; USD 36,000 - 71,000; Full time

Job summary

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.

Responsibilities

• 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.

Skills

Care coordination

EMR/HIPAA knowledge

Communication skills

Time management

Independent work

Team collaboration

Problem solving

Travel readiness

Education

RN license - active

Driver's license

Job description

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.