Pediatric Nurse Case Manager Job Description [Updated for 2025]

In the world of healthcare, the need for Pediatric Nurse Case Managers is more critical than ever.

As healthcare advances, so does the demand for skilled professionals who can guide, manage, and protect the healthcare journey of our youngest patients.

But let’s delve deeper: What’s truly expected from a Pediatric Nurse Case Manager?

Whether you are:

• A job seeker trying to understand the core of this role,
• A hiring manager outlining the perfect candidate,
• Or simply interested in the intricacies of pediatric nurse case management,

You’re in the right place.

Today, we introduce a customizable Pediatric Nurse Case Manager job description template, designed for effortless posting on job boards or career sites.

Let’s dive right into it.

Pediatric Nurse Case Manager Duties and Responsibilities

Pediatric Nurse Case Managers work in healthcare settings and play a crucial role in the coordination of care for pediatric patients.

They are responsible for assessing, planning, implementing, monitoring and evaluating options and services required to meet an individual child’s health needs.

Their duties and responsibilities include:

• Performing initial patient assessments, identifying the child’s medical, emotional, and social needs
• Developing comprehensive care plans for pediatric patients in conjunction with doctors and other healthcare professionals
• Monitoring patient’s progress and making necessary adjustments to the care plan
• Providing education and support to patients’ families regarding conditions, treatments, and healthcare resources
• Coordinating with physicians, therapists, and other healthcare professionals to ensure consistent and continuous patient care
• Advocating for the needs of the patient and their families within the healthcare system
• Assessing and determining patient eligibility for various healthcare services or programs
• Documenting all case management activities and patient interactions in the medical record
• Ensuring compliance with healthcare regulations and maintaining confidentiality of patient information

 

Pediatric Nurse Case Manager Job Description Template

Job Brief

We are seeking a dedicated and experienced Pediatric Nurse Case Manager to join our healthcare team.

Your responsibilities will include coordinating and providing quality healthcare services to our young patients and their families.

You will act as a link between healthcare providers, patients, and insurance companies, ensuring that each child receives the necessary care on time.

Our ideal candidate has a solid background in pediatric nursing and experience in case management.

Strong communication and organizational skills are essential for this role.

 

Responsibilities

• Develop and implement individualized care plans for pediatric patients
• Coordinate with healthcare professionals and stakeholders involved in the patient’s care
• Assess the health status of patients and monitor their progress
• Ensure all treatments and medications are administered as prescribed
• Communicate effectively with patients, families, and healthcare teams
• Facilitate patient access to appropriate medical services
• Advocate for the patient’s needs and preferences
• Document patient care and update records as necessary
• Act as a liaison between healthcare providers, patients, and insurance companies
• Identify any potential health risks and provide preventive care

 

Qualifications

• Registered Nurse License (RN)
• Experience in pediatric nursing and case management
• Thorough knowledge of case management principles and healthcare management
• Excellent communication, counseling and interpersonal skills
• Strong organizational and multi-tasking skills
• Attention to detail and problem-solving ability
• BSc or other diploma from a nursing program
• Valid nursing and CPR certification

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Pediatric Nurse Case Manager
• Work Environment: Hospital or clinic setting. Some home visits may be required.
• Reporting Structure: Reports to the Nurse Manager or Case Management Director.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $65,000 minimum to $95,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Pediatric Nurse Case Manager Do?

Pediatric Nurse Case Managers primarily work in healthcare facilities such as hospitals, clinics, and other medical settings where they work closely with children and their families.

Their role involves planning and coordinating the healthcare needs of pediatric patients, ranging from infants to adolescents.

They typically work with a team of healthcare professionals including doctors, therapists, and social workers, to provide comprehensive, patient-centered care.

Their responsibilities may include assessing the health status of pediatric patients, developing personalized care plans, monitoring the patient’s progress, and adjusting the care plans as necessary.

Pediatric Nurse Case Managers also play a key role in educating families about the child’s medical condition, the treatments required, and how to manage the condition at home.

They act as a bridge between the healthcare team and the families to ensure that the child receives the best possible care.

Furthermore, they might also be involved in coordinating appointments, arranging for medical equipment or services needed at home, and ensuring that the family has the necessary resources and support for the child’s care.

In some cases, the Pediatric Nurse Case Manager may also help families navigate through insurance claims, ensure the child’s healthcare needs are met within the constraints of the insurance policy, and advocate for the child’s health-related rights.

 

Pediatric Nurse Case Manager Qualifications and Skills

A competent Pediatric Nurse Case Manager should possess a range of clinical and interpersonal skills, along with the qualifications that align with the job description, such as:

• Registered Nurse (RN) degree and a valid nursing license, with specialisation in pediatrics.
• Several years of nursing experience, preferably in pediatric care or case management.
• Strong clinical knowledge and ability to provide medical care tailored to the specific needs of children.
• Exceptional communication and interpersonal skills to interact effectively with patients, their families, and medical professionals.
• Ability to coordinate a multidisciplinary approach to patient care, working closely with physicians, therapists, and social workers.
• Proficient in case management software and electronic health records systems.
• Strong organisational and time management skills to handle multiple cases simultaneously.
• A compassionate and empathetic approach, with the ability to provide emotional support to patients and their families.
• Problem-solving skills to identify challenges in care plans and collaborate with healthcare providers to resolve them.
• Knowledge of healthcare laws and regulations, particularly related to patient privacy and rights.

 

Pediatric Nurse Case Manager Experience Requirements

Pediatric Nurse Case Managers should ideally have a minimum of 1 to 3 years of experience as a registered nurse (RN) in the pediatric setting.

This exposure allows them to gain knowledge and practical skills necessary for the case management position.

Prior to being considered for this position, RNs usually go through relevant training and earn a Bachelor of Science in Nursing (BSN) degree.

Many Pediatric Nurse Case Managers also opt to enhance their qualifications by becoming certified pediatric nurses.

Candidates with 3 to 5 years of experience may have additional training and experience in case management, which enables them to effectively coordinate care for pediatric patients and their families.

They may have developed skills in evaluating the appropriate care necessary for each case, managing healthcare plans, and communicating with other healthcare professionals.

Those with more than 5 years of experience often possess a high level of expertise in pediatric nursing and case management.

They may have leadership experience and may be prepared for a role that requires supervision and training of junior nurses.

They may also be proficient in dealing with complex pediatric cases that require advanced knowledge and skills.

Furthermore, continuous professional development in the form of seminars and workshops is also beneficial in keeping up-to-date with the latest trends and developments in pediatric care and case management.

 

Pediatric Nurse Case Manager Education and Training Requirements

Pediatric Nurse Case Managers need to begin their career by completing a registered nursing program and obtaining a Bachelor of Science in Nursing (BSN) degree.

They must then pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become a licensed registered nurse.

Following licensure, aspiring Pediatric Nurse Case Managers should gain clinical experience in pediatric nursing.

This experience can often be obtained through entry-level nursing positions in pediatric departments or children’s hospitals.

Further specialization in pediatric case management typically requires additional education and training.

This could include obtaining a Master’s degree in nursing or healthcare management, or a post-graduate certificate in pediatric nursing or case management.

In addition to these educational requirements, Pediatric Nurse Case Managers may need to complete specific certification programs.

The American Nurses Credentialing Center (ANCC) and the American Case Management Association (ACMA) both offer pediatric case management certifications.

These certifications may require a combination of education, experience, and passing an examination.

Continuing education is also crucial in this role as it allows the Pediatric Nurse Case Manager to stay up-to-date with the latest medical knowledge, technologies, and best practices in pediatric care and case management.

Lastly, a successful Pediatric Nurse Case Manager should have strong leadership, communication, and organizational skills, as the role involves coordinating care among a team of healthcare providers, families, and insurance companies.

 

Pediatric Nurse Case Manager Salary Expectations

A Pediatric Nurse Case Manager can expect to earn an average salary of $71,730 (USD) per year.

However, the actual income can significantly differ based on factors such as years of experience, specialized training, geographical location, and the organization they work for.

 

Pediatric Nurse Case Manager Job Description FAQs

What skills does a Pediatric Nurse Case Manager need?

A Pediatric Nurse Case Manager needs to have a combination of clinical nursing skills and excellent interpersonal communication abilities.

They should be highly organized, adept at coordinating care, and comfortable working in a team-oriented approach.

Additionally, they should have a deep understanding of children’s health issues and be able to interact with children of all ages in a compassionate and patient manner.

 

Do Pediatric Nurse Case Managers need a specific degree or certification?

Yes, Pediatric Nurse Case Managers are typically required to hold a Bachelor’s degree in Nursing and must pass the NCLEX-RN exam to become a Registered Nurse (RN).

Some employers may also prefer candidates who have additional certification in pediatric nursing or case management.

 

What should you look for in a Pediatric Nurse Case Manager resume?

A resume for this role should demonstrate a solid background in nursing, particularly in pediatrics.

It should highlight the applicant’s experience in case management, care coordination, or similar roles.

Any certifications or training in pediatric nursing or case management should also be clearly listed.

Finally, look for evidence of strong communication skills and the ability to work collaboratively with a variety of healthcare professionals and family members.

 

What qualities make a good Pediatric Nurse Case Manager?

A good Pediatric Nurse Case Manager is compassionate, patient, and able to effectively communicate with children and their families.

They need to be detail-oriented to keep track of multiple cases, resourceful in coordinating care, and proactive in anticipating and addressing potential issues.

A strong commitment to ethical practice, confidentiality, and patient advocacy is also essential in this role.

 

How demanding is the role of a Pediatric Nurse Case Manager?

The role can be quite demanding as Pediatric Nurse Case Managers often juggle multiple cases at once, coordinating care across various healthcare providers and settings.

They may also have to deal with challenging situations such as serious illnesses or family crises.

However, the role can also be highly rewarding, as they have the opportunity to make a significant impact on the health and well-being of children and their families.

 

Conclusion

And there you have it.

Today, we’ve revealed the true essence of being a Pediatric Nurse Case Manager.

Guess what?

It’s not just about administering treatment.

It’s about shaping the future of healthcare, one child at a time.

With our specialized Pediatric Nurse Case Manager job description template and real-world examples, you’re primed to make a significant impact.

But why halt the journey here?

Explore further with our job description generator. It’s your next move for creating precision-crafted job listings or perfecting your resume to absolute excellence.

Bear in mind:

Every child you help is a part of the larger healthcare picture.

Let’s shape that future. Together.

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