Pediatric Care Navigator (RN) – Care Coordination

Molina Healthcare, Inc.; Tampa (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Care Manager RN to support care coordination and manage member outcomes. You will collaborate with multidisciplinary teams to deliver integrated care and ensure timely, cost-effective services across the continuum.

Responsibilities include comprehensive assessments, care plan development, home visits, and ongoing monitoring. Travel up to 40% may be required based on state contracts. Strong communication and HIPAA knowledge are essential.

Qualifications

• At least 2 years experience in health care, care management, or equivalent.
• RN license active in state of practice.
• Valid driver license and auto insurance for travel requirements.
• Understanding of EMR and HIPAA.
• Knowledge of community resources.
• Ability to work independently and manage multiple tasks.

Responsibilities

• Complete assessments and determine eligibility for care management.
• Develop and implement care coordination plans with the member and care team.
• Conduct telephonic, in-person, or home visits as required.
• Monitor and document progress toward goals and adjust plans.
• Maintain a caseload with regular outreach and coordination.
• Promote integration of services across care teams and LTSS resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and provide solutions.
• May provide peer consultation and medication reconciliation when needed.
• Travel 25-40% as required by state/contractual requirements.

Skills

Communication

Time management

Interpersonal skills

Detail oriented

Independent work

Education

Active RN license (State of practice)

Tools

EMR software

Job description

Molina Healthcare, Inc. is seeking a Care Manager RN to support care coordination and manage member outcomes. You will collaborate with multidisciplinary teams to deliver integrated care and ensure timely, cost-effective services across the continuum.

Responsibilities include comprehensive assessments, care plan development, home visits, and ongoing monitoring. Travel up to 40% may be required based on state contracts. Strong communication and HIPAA knowledge are essential.