Pediatric Care Navigator & RN Care Manager

Jobtome; Green Cove Springs (FL); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a registered nurse to serve as a Care Manager, coordinating care across the continuum and collaborating with a multidisciplinary team to advance member outcomes and cost-effective care.

The role involves comprehensive assessments, care planning, and regular outreach, with potential home visits. Proficiency in EMR/HIPAA and strong communication are essential; travel 25–40% may be required depending on state and contract.

Qualifications

• 2+ years in health care, care management, or similar setting.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel.
• Understanding of EMR and HIPAA requirements.
• Knowledge of community resources.
• Proactive, detail-oriented, able to work independently.

Responsibilities

• Complete comprehensive member assessments within timelines and identify eligibility for care management.
• Develop and implement care coordination plans with member, family, and health team.
• Conduct telephonic, in-person, or home visits as required.
• Monitor and evaluate care plan effectiveness and adjust as needed.
• Maintain ongoing member caseload and outreach.
• Promote integration of behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and collaboration across teams.
• Use motivational interviewing to educate and support behavior change.
• Identify barriers to care and provide assistance.

Skills

Care management

Care coordination

Communication

Time management

Problem solving

Team collaboration

Education

Registered Nurse license

Tools

EMR systems

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse to serve as a Care Manager, coordinating care across the continuum and collaborating with a multidisciplinary team to advance member outcomes and cost-effective care.

The role involves comprehensive assessments, care planning, and regular outreach, with potential home visits. Proficiency in EMR/HIPAA and strong communication are essential; travel 25–40% may be required depending on state and contract.