RN Care Navigator — Integrated Care & Outcomes

Molina Healthcare, Inc.; Kissimmee (FL); Vor Ort; USD 36.000 - 71.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a Registered Nurse to provide care management and coordination across the continuum. You will assess members, develop care plans, and collaborate with the multidisciplinary team to promote quality and cost-effective care.

The role involves telephonic, home visits, and travel (25-40%) as required by state contracts. Strong communication, EMR/HIPAA knowledge, and ability to manage multiple cases are essential.

Qualifikationen

• At least 2 years in health care, preferably care management or related setting.
• Registered Nurse (RN) license active and unrestricted.
• Valid driver's license and reliable transportation for travel needs.
• Familiarity with EMR and HIPAA requirements.
• Knowledge of community resources and service navigation.

Aufgaben

• Completes comprehensive member assessments per timelines.
• Develops and implements care coordination plans with member, family, and clinicians.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plan effectiveness and documents interventions toward goals.
• Maintains ongoing member caseload with regular outreach and follow-up.
• Facilitates interdisciplinary care team (ICT) meetings and collaboration.
• Assesses barriers to care and connects members with resources.
• May guide peers and provide consultation as needed.
• Care manager RNs may handle complex cases and medication reconciliation as needed.
• Local travel of 25-40% may be required based on state/contractual requirements.

Kenntnisse

Care coordination

EMR familiarity

HIPAA knowledge

Communication skills

Time management

Ausbildung

RN license

Tools

EMR systems

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking a Registered Nurse to provide care management and coordination across the continuum. You will assess members, develop care plans, and collaborate with the multidisciplinary team to promote quality and cost-effective care.

The role involves telephonic, home visits, and travel (25-40%) as required by state contracts. Strong communication, EMR/HIPAA knowledge, and ability to manage multiple cases are essential.