Pediatric Care Navigator & RN Care Manager

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

Zusammenfassung

Molina Healthcare seeks an experienced Care Manager RN to support care coordination and multidisciplinary collaboration across care settings. This role emphasizes proactive assessment, plan development, and ongoing monitoring to achieve quality, cost-effective outcomes for members.

Responsibilities include performing assessments, coordinating services, and facilitating ICT meetings, with travel 25–40% based on contract requirements. RN licensure and HIPAA awareness are required.

Qualifikationen

• At least 2 years experience in health care, preferably in care management, or equivalent combination of relevant education and experience.
• Registered Nurse (RN) with active license in state of practice.
• Valid driver's license and reliable transportation for travel requirements.

Aufgaben

• Completes comprehensive assessments of members per regulations and determines eligibility for care management.
• Develops and implements care coordination plans with member and care network.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Maintains ongoing member caseload with regular outreach and management.
• Promotes integration of services across behavioral health, LTSS, and home/community resources.
• Facilitates interdisciplinary care team meetings and collaboration.
• Uses motivational interviewing to educate, support and motivate change.
• Assesses barriers to care and provides coordination and assistance.
• Care managers may handle complex cases and medication reconciliation as needed.

Kenntnisse

Communication skills

Time management

Problem solving

Motivational interviewing

Ausbildung

Registered Nurse (RN) license

Active unrestricted license

Tools

EMR software

Microsoft Office

Jobbeschreibung

Molina Healthcare seeks an experienced Care Manager RN to support care coordination and multidisciplinary collaboration across care settings. This role emphasizes proactive assessment, plan development, and ongoing monitoring to achieve quality, cost-effective outcomes for members.

Responsibilities include performing assessments, coordinating services, and facilitating ICT meetings, with travel 25–40% based on contract requirements. RN licensure and HIPAA awareness are required.