Pediatric Care Navigator

Molina Healthcare, Inc.; Largo (FL); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare, Inc. is seeking an experienced Registered Nurse to provide care management and coordination across the care continuum. The role focuses on assessing member needs, developing care plans with a multidisciplinary team, and ensuring progress toward health outcomes.

The position requires 2+ years in healthcare, an active RN license, and the ability to travel locally (25–40%). Strong communication, organization, and motivational interviewing skills are essential to drive quality and

Qualifications

• At least 2 years experience in health care, care management or related field.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel.
• Understanding of EMR and HIPAA compliance.
• Knowledge of community resources and referral networks.

Responsibilities

• Assess members per timelines and determine eligibility for care management.
• Develop and implement care coordination plan with member and care team.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor care plan effectiveness and document interventions.
• Maintain ongoing member caseload and outreach.
• Promote integrated services across behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and collaboration.
• Educate and motivate members using motivational interviewing techniques.
• Identify barriers to care and provide solutions.
• Provide consultation or guidance to peers as needed.
• May perform medication reconciliation for complex cases.
• Travel 25–40% may be required based on state contracts.

Skills

Communication skills

Time management

Problem solving

Critical thinking

Detail oriented

Self-motivation

Travel readiness

Team collaboration

Education

Registered Nurse (RN)

Tools

EMR system

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking an experienced Registered Nurse to provide care management and coordination across the care continuum. The role focuses on assessing member needs, developing care plans with a multidisciplinary team, and ensuring progress toward health outcomes.

The position requires 2+ years in healthcare, an active RN license, and the ability to travel locally (25–40%). Strong communication, organization, and motivational interviewing skills are essential to drive quality and