Pediatric Registered Nurse Case Manager

An RN Case Manager is needed for a major managed care company in Connecticut!

Location: This is a 100% remote position, but need to be located in the state of Connecticut to be considered and have an active Connecticut compact RN license to be considered

Hours: M-F 8 AM - 5 PM

Description - External

  • Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care


  • Develop, assess and adjust, as necessary, the care plan and promote desired outcome
  • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
  • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
  • Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
  • Provide patient and provider education
  • Facilitate member access to community based services
  • Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
  • Actively participate in integrated team care management rounds
  • Identify related risk management quality concerns and report these scenarios to the appropriate resources
  • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

Job Requirements:


  • Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred.
  • 2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
  • Knowledge of healthcare and managed care preferred.
  • Prior experience working in a remote role preferred.
  • Prior case management experience preferred. Bilingual in Spanish and English is preferred.

Licenses/Certifications: Current state’s RN license.

*Pediatrics - birth to 21

*Work-from-home case management role

Interested? Apply today for immediate consideration!

Full time
Hamden, CT 06517, US