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

Molina Healthcare; Clearwater (FL); Hybride; USD 36 000 - 71 000; Plein temps

Avantages offerts par ce poste

Competitive benefits

Flexible hybrid schedule

Résumé du poste

Molina Healthcare is seeking a Pediatric Care Manager (RN) for a hybrid role serving Pinellas County, FL. The position requires coordinating member care across disciplines, performing assessments, and implementing care plans through telephonic, in-person, and home visits as needed.

The role emphasizes collaboration with physicians, caregivers, and a multidisciplinary team to improve outcomes and drive cost-effective care, with 25-40% travel anticipated for local assignments.

Qualifications

• Registered Nurse (RN) with active license in practice state.
• Experience in health care, preferably care management or behavioral health.
• Must have valid driver's license and reliable transportation.

Responsabilités

• Complete comprehensive member assessments within timelines.
• Develop and implement care coordination plans with stakeholders.
• Conduct telephonic, in-person, or home visits as required.
• Monitor and adjust care plans based on progress and documentation.
• Maintain ongoing member caseload and outreach.
• Promote integration of services across care settings.
• Facilitate interdisciplinary care team meetings and collaboration.
• Educate and motivate members using motivational interviewing.
• Identify barriers and provide care coordination assistance.
• May provide consultation and resources to peers.

Connaissances

RN

HIPAA knowledge

EMR familiarity

Communication skills

Time management

Travel readiness

Formation

RN license

Outils

Microsoft Office

EMR software

Description du poste

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

Clearwater, 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 2040030
• Job Category Clinical
• Posting Date 11/05/2026, 06:39 PM
• Job Schedule Full time
• Locations Clearwater, FL, United States Largo, 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