Pediatric Care Navigator (RN) | Care Coordination Lead

Molina Healthcare, Inc.; Florida; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking a Registered Nurse to provide care management and coordination across the care continuum. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes and contribute to cost-effective, high-quality care.

Responsibilities include comprehensive assessments, plan development, and regular contact with members, caregivers, and providers. Travel to member sites may be required.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• Registered Nurse with active license in practice state.
• Understanding of EMR systems and HIPAA.

Responsibilities

• Completes comprehensive assessments of members per regulated timelines and identifies candidates for care management based on clinical judgment.
• Develops and implements care coordination plan with member, caregiver, physician and care professionals.
• Performs telephonic, in-person or home visit as required.
• Monitors and documents progress toward goals and modifies plan as needed.
• Maintains ongoing member caseload with regular outreach and management.
• Promotes integration of behavioral health, LTSS, and community resources to ensure continuity of care.
• Facilitates ICT meetings and collaborates with team members.
• Educates and motivates members using motivational interviewing and clinical guides.
• Identifies barriers to care and coordinates resources to address concerns.
• May provide consultation and recommendations to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation as required.
• Travel estimated at 25-40% depending on state/contract requirements.

Skills

Care coordination

RN License

Clinical judgment

HIPAA & EMR knowledge

Communication skills

Time management

Travel readiness

Job description

Molina Healthcare, Inc. is seeking a Registered Nurse to provide care management and coordination across the care continuum. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes and contribute to cost-effective, high-quality care.

Responsibilities include comprehensive assessments, plan development, and regular contact with members, caregivers, and providers. Travel to member sites may be required.