Pediatric Care Navigator (RN) - Care Coordination

Jobtome; LaBelle (FL); Vor Ort; USD 36.000 - 71.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking an experienced Care Manager RN to support care management activities and coordinate services across the continuum. You will work with multidisciplinary teams to ensure member progress toward outcomes and contribute to strategies for quality and cost-effective care.

Responsibilities include comprehensive assessments, developing care plans with providers and family, telephonic visits, home visits when required, and monitoring plan effectiveness.

Qualifikationen

• 2+ years health care experience, care management or related setting.
• RN license active and unrestricted in state of practice.
• Valid driver’s license and reliable transportation for travel.
• Familiarity with EMR and HIPAA regulations.
• Knowledge of community resources and ability to navigate care options.
• Proactive, detail-oriented, and able to work independently.
• Ability to operate in multiple settings with diverse populations.
• Strong communication and relationship-building skills.
• Solid time-management and prioritization abilities.
• Excellent problem-solving and critical-thinking skills.
• Proficiency with MS Office and online portals.

Aufgaben

• Completes comprehensive assessments within required timelines to identify care management eligibility.
• Develops and implements care coordination plans with member, family, physicians, and care team.
• Conducts telephonic, in-person, or home visits as needed.
• Monitors and documents plan progress, evaluates effectiveness, and suggests changes.
• Maintains ongoing member caseload and regular outreach.
• Promotes integration of behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings and collaboration.
• Educates and motivates members using motivational interviewing and clinical guidelines.
• Assesses barriers to care and provides assistance to address concerns.
• May provide consultation and resources to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.
• Local travel 25-40% may be required.

Kenntnisse

Care coordination

Telephonic outreach

HIPAA compliance

EMR proficiency

Time management

Problem solving

Verbal and written communication

Team collaboration

Adaptability in diverse settings

Ausbildung

Registered Nurse (RN) license

Certified Case Manager (CCM)

Tools

EMR systems

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking an experienced Care Manager RN to support care management activities and coordinate services across the continuum. You will work with multidisciplinary teams to ensure member progress toward outcomes and contribute to strategies for quality and cost-effective care.

Responsibilities include comprehensive assessments, developing care plans with providers and family, telephonic visits, home visits when required, and monitoring plan effectiveness.