Remote Pediatric Case Manager (RN)
We’re seeking a Pediatric Case Manager (RN) to support a diverse pediatric population within a managed care environment. In this fully remote role, you’ll partner with providers, hospitals, and multidisciplinary teams to coordinate care for children with complex and chronic conditions—helping improve outcomes while reducing unnecessary utilization.
This is a great opportunity for a clinically strong RN who is passionate about population health, care coordination, and empowering families through education and support.
What You’ll Do

+ Conduct comprehensive needs assessments for pediatric members, evaluating clinical, social, and behavioral health factors

+ Stratify patient risk levels using established tools to prioritize high-risk populations

+ Develop individualized, evidence-based care plans tailored to each child and family

+ Monitor inpatient census activity to identify admissions/discharges and ensure ...