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

Molina Healthcare, Inc.; Largo (FL); Ibrido; USD 36.000 - 71.000; Tempo pieno

Vantaggi offerti da questo lavoro

Hybrid work

Competitive benefits

EOE

Descrizione del lavoro

Molina Healthcare, Inc. is seeking a Pediatric Care Manager (RN) to support care coordination across the continuum. This hybrid role in Pinellas County, FL requires conducting assessments, developing coordinated care plans, and engaging with members through visits or calls to achieve outcomes.

Applicants should have an active RN license, 2+ years in healthcare, EMR proficiency, and the ability to travel up to 40% as needed. Molina offers competitive benefits and is an Equal Opportunity Employer.

Competenze

• Active RN license in state of practice.
• 2+ years healthcare experience, care management preferred.
• Familiarity with HIPAA and EMR
• Willingness to travel 25–40% as required.

Mansioni

• Performs comprehensive member assessments per timelines and determines care management eligibility.
• Develops and implements care coordination plans with members, families, and providers.
• Conducts telephonic, in-person, or home visits as required.
• Monitors progress and adjusts care plan to meet outcomes.
• Maintains caseload and coordinates services across LTSS, behavioral health and community resources.
• Facilitates ICT meetings and collaborates with team; educates members using motivational interviewing.

Conoscenze

RN licensure

Healthcare experience

Communication skills

EMR proficiency

Travel readiness

Formazione

Registered Nurse (RN) licensure

Strumenti

EMR systems

Microsoft Office

Descrizione del lavoro

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