Pediatric Care Navigator & Care Coordinator

Molina Healthcare, Inc.; Florida City (FL); On-site; USD 33,000 - 64,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare, Inc. in Florida City, FL, seeks a Care Management professional to support care coordination across the continuum and collaborate with a multidisciplinary team to improve member outcomes and cost-effective care.

The role includes member assessments, care plan development, and direct interactions via telephonic, in-person, or home visits. Travel of 25-40% may be required; strong communication and organization are essential.

Qualifications

• 2+ years in health care, preferably care management or related settings.
• Licensure/certification required only if mandated by state contract/regulation.
• Valid driver's license and reliable vehicle for travel.
• Knowledge of community resources and ability to work independently.

Responsibilities

• Complete member assessments within required timelines and determine eligibility for care coordination.
• Develop and implement care plans with the member, caregivers, and clinicians.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor care plans, document interventions, and adjust as necessary.
• Maintain an ongoing member caseload and outreach.
• Promote integrated services across behavioral health, LTSS, and community resources.

Skills

Care coordination

Communication

Time management

Problem solving

Microsoft Office

Driver's license

Education

Bachelor's degree in healthcare (may be required)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. in Florida City, FL, seeks a Care Management professional to support care coordination across the continuum and collaborate with a multidisciplinary team to improve member outcomes and cost-effective care.

The role includes member assessments, care plan development, and direct interactions via telephonic, in-person, or home visits. Travel of 25-40% may be required; strong communication and organization are essential.