Pediatric Case Manager Registered Nurse – Louisiana Field

CVS Health • Hammond, LA

4d • $54,095 - $116,760

About The Position

Coordinates case management activities for pediatric members by evaluating their medical needs and facilitating their overall wellness. Develops strategies to address issues affecting outcomes and identify opportunities to enhance members’ overall wellness through integration. Instructs members on programs and procedures in compliance with network management and clinical coverage policies. The role is based in Louisiana and requires residence in Orleans, Jefferson, St. Bernard, or Plaquemines Parish. It includes field travel within 125 miles round trip for one day, along with a variable schedule that permits work two days per week until 9 p.m. local time.

Requirements

• Reside in Louisiana in Orleans, Jefferson, St. Bernard, or Plaquemines Parish.
• Current, active RN clinical licensure.
• Case management experience.
• Strong customer service orientation and problem-solving skills.
• Excellent communication and telephonic skills.
• Excellent motivational interviewing skills and ability to build rapport and trust by telephone.
• Excellent documentation skills and respect for compliance and regulatory standards.
• Highly organized and self-driven without direct supervision.
• Ability to manage time effectively and achieve performance metrics.
• Technology proficiency.
• Ability to travel within 125 miles round trip for one day in the field.
• Availability for a variable work schedule, including working two days weekly until 9 p.m. local time.
• Pediatric experience.

Nice To Haves

• Bachelor’s and/or master’s degree.
• CCM certification.
• Previous experience in a managed care organization.

Responsibilities

• Coordinate case management activities for pediatric members.
• Evaluate members’ medical needs and facilitate their overall wellness.
• Develop strategies to address issues affecting outcomes and identify opportunities to enhance member wellness through integration.
• Instruct members on programs and procedures in compliance with network management and clinical coverage policies.
• Travel within 125 miles round trip for one day in the field.

Benefits

• Medical coverage.
• Dental coverage.
• Vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.
• Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed