Pediatric Case Manager Registered Nurse – Louisiana Field

CVS Health Corporation; Austin (TX); On-site; USD 54,000 - 117,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a dedicated pediatric case manager to coordinate case management activities, evaluate medical needs, and promote overall wellness for pediatric members. The role involves developing strategies to address outcomes in a managed care setting and ensuring compliance with coverage policies.

The position requires an RN license, active case management experience, strong communication and motivational interviewing skills, and willingness to travel within 125 miles for

Qualifications

• Must reside in Louisiana in one of the following parishes: Region-1: Orleans, Jefferson, St. Bernard and Plaquemines parishes.
• Active Clinical Licensure (RN)
• Case Management experience
• Strong customer service orientation and problem solving
• Excellent Communication/Telephonic skills
• Excellent motivational interviewing skills/ability to build rapport and trust telephonically
• Excellence in documentation and respecting compliance/regulatory standards
• Highly organized, remain self-driven without direct supervision
• Manage time effectively
• Pediatric experience
• Bachelor's and/or Master's Degree
• CCM Certification
• Previous experience in Managed Care Organization

Responsibilities

• Coordinates all case management activities with pediatric members to evaluate medical needs and to facilitate the overall wellness of pediatric members.
• Develops strategy to address issues to outcomes and opportunities to enhance members overall wellness through integration.
• Instructs programs and procedures in compliance with network management and clinical coverage policies.

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position SummaryCoordinates all case management activities with pediatric members to evaluate medical needs and to facilitate the overall wellness of pediatric members. Develops strategy to address issues to out- comes and opportunities to enhance members overall wellness through integration.Instructs programs and procedures in compliance with network management and clinical coverage policies.

Required Qualifications

Must reside in Louisiana in one of the following parishes: Region-1: Orleans, Jefferson, St. Bernard and Plaquemines parishes.

Must reside in Louisiana in one of the following parishes: Region-1: Orleans, Jefferson, St. Bernard and Plaquemines parishes.current/Active Clinical Licensure (RN,)Case Management experienceStrong customer service orientation and problem solvingExcellent Communication/Telephonic skillsExcellent motivational interviewing skills/ability to built rapport and trusttelephonicallyExcellence in documentation and respecting compliance/regulatory standardsHighly organized, remain self-driven without direct supervisionManage time effectivelyAchieve performance metricsTechnology proficiencyAbility to travel within 125 miles round trip for 1 day in the fieldVariable work scheduled with ability to work 2 days weekly until 9pm localtime.Pediatric experience

Preferred Qualifications

• Bachelors and/or Master's Degree
• CCM Certification
• Previous experience in Managed Care Organization

Education

• Bachelors and/or Master's Degree

Anticipated Weekly Hours

Anticipated Weekly Hours 40Anticipated Weekly Hours40

Time Type

Full time

Pay Range

The typical pay range for this role is:$54,095.00 - $116,760.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on

Benefits Moments.

We anticipate the application window for this opening will close on: 10/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.