Remote Pediatric Case Manager Role!
Job Description
The Pediatric Case Manager plays a crucial role in managing complex and chronic conditions within a pediatric population in a managed care environment. This position collaborates with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps, and enhance health outcomes while minimizing avoidable utilization.
Responsibilities

+ Conduct comprehensive needs assessments and stratify risk.

+ Develop individualized care plans aligned with evidence-based guidelines.

+ Review inpatient census activity and coordinate discharges.

+ Conduct outreach to high-risk members and provide disease-specific education.

+ Empower patients and families in self-management.

+ Operate in compliance with Medicaid requirements and PCMH standards.

+ Support cost-effective care delivery and improve members' quality of life.

Essential Skills

+ Active Fl...