Pediatric Care Navigator—RN Care Coordination

Molina Healthcare, Inc.; Green Cove Springs (FL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare, Inc. is seeking an experienced Registered Nurse to support care management activities and coordinate member care across the continuum in Florida.

You will work with a multidisciplinary team to improve outcomes and optimize quality and cost-effectiveness of care. You will complete comprehensive assessments, develop care coordination plans with physicians and caregivers, conduct visits, monitor progress, and travel as required to meet contract specifications.

Qualifications

• Active RN license in practice state.
• Minimum 2 years in health care, care management preferred.
• Valid driver’s license and ability to travel as required.
• Understanding of HIPAA and EMR systems.
• Ability to work independently and adapt to varied settings.
• Strong communication and time-management skills.
• Knowledge of community resources.
• Proactive, detail-oriented, problem-solving mindset.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines.
• Develop and implement care coordination plans with member, caregiver, physician and care team.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor and evaluate care plan effectiveness and adjust as required.
• Maintain ongoing member caseload and regular outreach.
• Facilitate interdisciplinary care team meetings and collaboration.
• Travel 25–40% as required by state contracts.

Skills

Time management

Verbal and written communication

Independent work

Problem-solving

Critical thinking

Relationship building

Attention to detail

Adaptability

Multitasking

Education

RN license

Tools

EMR system

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking an experienced Registered Nurse to support care management activities and coordinate member care across the continuum in Florida.

You will work with a multidisciplinary team to improve outcomes and optimize quality and cost-effectiveness of care. You will complete comprehensive assessments, develop care coordination plans with physicians and caregivers, conduct visits, monitor progress, and travel as required to meet contract specifications.