Job Summary
The Pediatric Care Manager supports care management and care coordination activities for pediatric members, partnering with families, providers, and community resources to improve health outcomes and ensure access to quality, cost-effective care. This hybrid role combines telephonic, virtual, and field-based member engagement.
Key Responsibilities
- Conduct clinical and/or behavioral health assessments.
- Develop and manage individualized care plans.
- Coordinate medical, behavioral health, LTSS, and community services.
- Monitor member progress and adjust interventions as needed.
- Facilitate interdisciplinary care team collaboration.
- Conduct telephonic, face-to-face, and home visits as required.
- Address barriers to care and support members in achieving health goals.
- Maintain documentation and regulatory compliance.
Qualifications
- Minimum 2 years of healthcare, care management, case management, behavioral health, or related experience.
- Active, unrestricted Florida license in one of the following:
- LVN/LPN
- Registered Nurse (RN)
- Licensed Behavioral Health Clinician (LCSW, LMSW, LPC, LMFT, LPCC, PsyD, PhD, or equivalent)
- Strong communication, critical thinking, and care coordination skills.
- Proficiency with EMR systems and Microsoft Office.
- Valid driver's license, reliable transportation, and ability to travel locally (25% to 40%).
Preferred Qualifications
- Certified Case Manager (CCM)
- Pediatric, managed care, behavioral health, or field-based care management experience
- Experience working with children and families with complex medical, behavioral health, or social needs
Work Arrangement: Hybrid with field-based travel within the assigned service area.
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To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V