Pediatric RN Care Manager: Enhance Member Health Outcomes

7 days ago


Miami, Florida, United States CVS Health Full time
Job Summary
CVS Health seeks a skilled Pediatric RN Care Manager to support medically complex pediatric members across the MMA and Florida Healthy Kids Medicaid lines of business. The ideal candidate will utilize advanced clinical judgment and critical thinking skills to facilitate member physical and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wrap-around services.

About CVS Health
At CVS Health, we put our heart into caring for our colleagues and communities. Our purpose is to deliver enhanced human-centric healthcare for a rapidly changing world. We believe in empowering our team members to transform our culture and accelerate innovation.

Schedule and Responsibilities
This role is remote with field visits to members as needed. The schedule is Monday-Friday 8am-5pm EST, with flex schedule options allowing employees to work 4 days per week. Key responsibilities include:
* Telephonic and face-to-face assessments, planning, implementing, and coordinating care management activities with members
* Developing proactive courses of action to address issues and facilitate short and long-term outcomes
* Conducting comprehensive assessments of member needs and recommending approaches to case resolution
* Applying clinical judgment to reduce risk factors and addressing complex health and social indicators

Required Qualifications
The ideal candidate will possess:
* Bilingual proficiency in Spanish
* Active current unrestricted RN licensure in the state of Florida
* 2+ years of experience with pediatric patient care as an RN
* Willingness and ability to travel 10-20% of time to meet members face-to-face

Salary and Benefits
We offer a competitive salary range of $54,095.60 - $116,760.80, with opportunities for bonus, commission, or short-term incentives. Eligible employees may enroll in our 401(k) retirement savings plan and enjoy a fully-paid term life insurance plan. We also provide Paid Time Off (PTO), paid holidays, and education assistance. Our company offers numerous well-being programs, free development courses, and discount programs with participating partners.

Career Advancement Opportunities
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment. If you have a speech or hearing disability, please contact us through the Telecommunications Relay Services (TRS).

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