Pediatric Case Manager Registered Nurse – Louisiana Field

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

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.

Required Qualifications

Must reside in Louisiana in one of the following parishes: Region-1:

Orleans, Jefferson, St. Bernard and Plaquemines parishes.

Required Qualifications

• 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

Preferred Qualifications

• Bachelors and/or Master's Degree

• CCM Certification

• Previous experience in Managed Care Organization

• Education

• Bachelors and/or Master's Degree

• Anticipated Weekly Hours 40

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 11/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.