Pediatric Case Manager RN - Care Coordination Leader

CVS Health Corporation; Baton Rouge (LA); On-site; USD 54,000 - 117,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Job summary

CVS Health Corporation in Louisiana is seeking a Pediatric Case Manager to coordinate case management activities for pediatric members, evaluating medical needs and promoting overall wellness.

The role involves developing strategies to address issues, ensuring programs align with clinical coverage policies, and traveling as needed within a 125-mile radius. A Louisiana RN license and pediatric case management experience are required.

Qualifications

• Active clinical licensure (RN)
• Case management experience
• Excellent communication skills, telephonic
• Motivational interviewing skills and ability to build rapport
• Excellent documentation and compliance with regulatory standards
• Highly organized, self-driven with minimal supervision
• Able to travel within 125 miles round trip for 1 day field work
• Variable schedule including 2 evenings per week until 9pm
• Pediatric experience required

Responsibilities

• Coordinate case management activities for pediatric members to evaluate medical needs and wellness
• Develop strategies to address issues and opportunities to enhance wellness through integration
• Instruct programs and procedures in compliance with network management and clinical coverage policies

Skills

Case Management

Professional Communication

Motivational Interviewing

Problem Solving

Time Management

Documentation & Compliance

Telephonic Communication

Customer Service

Travel Mobility

Organization

Education

Bachelor's or Master's Degree

CCM Certification

Job description

CVS Health Corporation in Louisiana is seeking a Pediatric Case Manager to coordinate case management activities for pediatric members, evaluating medical needs and promoting overall wellness.

The role involves developing strategies to address issues, ensuring programs align with clinical coverage policies, and traveling as needed within a 125-mile radius. A Louisiana RN license and pediatric case management experience are required.