Join our dynamic team as a Pediatric RN Care Manager and make a meaningful difference in the lives of medically complex pediatric members! As a 100% remote role, you'll have the flexibility to work from the comfort of your own home, with occasional field visits to members in the Tampa area. We're offering a competitive salary, reflecting your skills and experience, and a comprehensive benefits package that prioritizes your well-being.
At CVS Health, our purpose is to bring heart to every moment of our members' health journeys. As a Pediatric RN Care Manager, you'll play a vital role in delivering personalized, human-centric care that addresses the unique needs of our pediatric members. You'll utilize your advanced clinical judgment and critical thinking skills to facilitate care planning, coordination, and collaboration with healthcare providers, ensuring optimal outcomes and enhancing the overall wellness of our members.
Position Summary:
The Pediatric Care Manager RN will support a population of medically complex pediatric members, with a focus on those receiving private duty nursing, PPEC, Medical Foster Care, or nursing facility services. This role requires a strong foundation in pediatric patient care, case management, and collaboration with interdisciplinary care teams. You'll work closely with members, families, and healthcare providers to develop and implement personalized care plans, addressing medical, behavioral, and social needs.
Key Responsibilities:
- Conduct comprehensive assessments of members' needs, utilizing clinical tools and data review to inform care planning and coordination.
- Develop and implement proactive care plans, addressing short-term and long-term goals, and facilitating collaboration with healthcare providers and community resources.
- Provide crisis intervention, support, and follow-up to members experiencing behavioral health or medical crises, ensuring timely access to necessary services and treatment.
- Apply clinical judgment and expertise to influence care decisions, promote optimal outcomes, and address complex health and social indicators.
- Collaborate with care teams, including medical directors, social workers, and other healthcare professionals, to overcome barriers and achieve member-centered goals.
Requirements:
- Active, unrestricted RN licensure in the state of Florida.
- 2+ years of experience in pediatric patient care, preferably in a hospital setting, ambulatory care, or alternative care environment.
- Willingness to travel 10-20% of the time for face-to-face member visits, with reliable transportation and mileage reimbursement.
- Proficiency in MS Office Suite applications, including Teams, Outlook, Word, and Excel.
Preferred Qualifications:
- Experience with members receiving private duty nursing, PPEC, Medical Foster Care, or nursing facility services.
- Case management experience, preferably in a pediatric population.
- Certified Care Manager (CCM) certification.
- Managed care or utilization review experience.
What We Offer:
- Competitive salary range: $54,095.60 - $116,760.80.
- Comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and employee stock purchase plan.
- Opportunities for professional growth and development, including education assistance and free development courses.
- A dynamic, supportive work environment that prioritizes work-life balance and employee well-being.
How to Apply:
If you're passionate about delivering exceptional patient care and making a meaningful difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role.
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