RN Care Manager - Care Coordination & Home Visits

Jobtome; Lakeland (FL); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN to support care management across the continuum, coordinating with a multidisciplinary team to ensure quality, cost-effective member care. The role requires RN licensure, active in the state, and comfort with travel and diverse settings.

You will conduct assessments, develop care plans, and monitor progress, collaborating with physicians, caregivers, and community resources. Strong communication and organizational skills are essential.

Qualifications

• At least 2 years experience in health care, preferably in care management, or equivalent combination of relevant education and experience.
• RN license active and unrestricted in state of practice.
• Valid driver's license, reliable transportation for travel requirements.
• Understanding of EMR and HIPAA.
• Knowledge of community resources.
• Ability to operate proactively and with attention to detail.
• Ability to work independently with minimal supervision and adapt to various settings.

Responsibilities

• Complete comprehensive assessments of members per timelines to determine care management eligibility.
• Develop and implement care coordination plans with member, caregivers, and health professionals.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plan effectiveness, document interventions and goal achievement.
• Maintain ongoing member caseload for regular outreach and management.
• Promote integration of services across behavioral health, LTSS, and community resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Educate and motivate members using motivational interviewing and clinical guidelines.
• Identify barriers to care and provide timely assistance and referrals.
• May provide consultation to peers and handle complex cases as needed.
• Travel 25-40% based on state/contractual requirements.

Skills

Care coordination

RN background

EMR navigation

HIPAA knowledge

Communication skills

Travel flexibility

Education

Registered Nurse license

CCM certification (preferred)

Tools

EMR software

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager RN to support care management across the continuum, coordinating with a multidisciplinary team to ensure quality, cost-effective member care. The role requires RN licensure, active in the state, and comfort with travel and diverse settings.

You will conduct assessments, develop care plans, and monitor progress, collaborating with physicians, caregivers, and community resources. Strong communication and organizational skills are essential.