Pediatric Case Manager Registered Nurse – Louisiana Field

CVS Health•Hammond, LA

3d•$54,095 - $116,760•Remote

About The Position

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 out-comes and opportunities to enhance members overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.

Requirements

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 experience
Strong customer service orientation and problem solving
Excellent Communication/Telephonic skills
Excellent motivational interviewing skills/ability to built rapport and trust telephonically
Excellence in documentation and respecting compliance/regulatory standards
Highly organized, remain self-driven without direct supervision
Manage time effectively
Achieve performance metrics
Technology proficiency
Ability to travel within 125 miles round trip for 1 day in the field
Variable work scheduled with ability to work 2 days weekly until 9pm local time.
Pediatric experience

Nice To Haves

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

Responsibilities

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