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Pediatric Case Management Jobs (NOW HIRING)

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Director Case Management

Las Vegas, NV · On-site

$135K - $202K/yr

A Director of Case Management opportunity is available at a large acute care hospital in Las Vegas ... post-op Pediatric Cardiac Intensive Care Unit and an advanced comprehensive stroke center ...

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Pediatric Case Management information

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How much do pediatric case management jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for pediatric case management in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

Where do case managers get paid the most?

Pediatric case managers tend to earn higher salaries in regions with a higher cost of living and greater healthcare funding, such as metropolitan areas or states with robust healthcare industries. Experience, certifications, and working for large healthcare organizations or government programs can also increase earning potential.

What is the highest paying job working with children?

In pediatric case management, senior roles such as Pediatric Nurse Managers or Pediatric Program Directors tend to have the highest salaries, often exceeding $100,000 annually. These positions typically require advanced certifications, extensive experience, and leadership skills within healthcare or social services environments.

What are the key skills and qualifications needed to thrive in the Pediatric Case Management position, and why are they important?

To excel in Pediatric Case Management, you need a solid background in nursing or social work with knowledge of child development, pediatric care coordination, and a relevant degree or licensure such as RN, LPN, or LMSW. Familiarity with case management software, electronic health records (EHR), and utilization review tools is often required. Strong interpersonal communication, problem-solving abilities, and cultural sensitivity are critical soft skills for supporting children and families. These competencies enable effective care planning, multidisciplinary collaboration, and advocacy for pediatric patients' best outcomes.

What do pediatric case managers do?

Pediatric case managers coordinate healthcare services and support for children with medical or developmental needs. They assess families' needs, develop care plans, communicate with healthcare providers, and ensure children receive appropriate resources and follow-up care, often working in healthcare or social service settings. Strong organizational and communication skills are essential for this role.

What is a Pediatric Case Management job?

A Pediatric Case Management job involves coordinating healthcare services for children with medical, developmental, or psychosocial needs. Case managers work with families, doctors, therapists, and community resources to create and implement care plans that ensure the best possible outcomes for the child. They assess needs, monitor progress, and advocate for necessary services while helping families navigate healthcare systems. Effective communication, problem-solving, and knowledge of pediatric healthcare are essential skills in this role.

What are some typical challenges faced in Pediatric Case Management?

Pediatric Case Managers often navigate complex family dynamics, coordinate with multiple healthcare providers, and manage a high caseload of children with diverse medical and social needs. Balancing the unique needs of each child while ensuring clear communication between families, healthcare teams, and social services can be demanding. However, these challenges also provide the opportunity to make a significant positive impact on children's health outcomes and family well-being. Support from a multidisciplinary team and ongoing professional development can make these challenges manageable and rewarding.

How to become a case manager for children?

To become a pediatric case manager, typically a bachelor's degree in social work, nursing, or a related health field is required. Relevant experience in healthcare or social services, strong communication skills, and certification such as the Certified Case Manager (CCM) or Pediatric Nursing Certification can enhance job prospects. Some positions may also require background checks and ongoing professional development.
More about Pediatric Case Management jobs
What cities are hiring for Pediatric Case Management jobs? Cities with the most Pediatric Case Management job openings:
What states have the most Pediatric Case Management jobs? States with the most job openings for Pediatric Case Management jobs include:
What job categories do people searching Pediatric Case Management jobs look for? The top searched job categories for Pediatric Case Management jobs are:
Pediatric Case Management jobs near you
Infographic showing various Pediatric Case Management job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.
Case Manager-Case Management-HHK-Sacaton

Case Manager-Case Management-HHK-Sacaton

Gila River Health Care Corp

Sacaton, AZ • On-site

$20.50 - $26.50/hr

Full-time

Re-posted 19 days ago

Gila River Health Care rating

8.0

Company rating: 8.0 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

Summary:
The Case Manager will provide comprehensive Case Management for patients as assigned to include, but not limited to: assessing patient's needs; developing, implementing, monitoring, and documenting the progress of the patient throughout their hospitalization in an outside area hospital to meet their care needs prior to discharge. The intensity of Case Management is situational and appropriately based on patient need. This position is accountable for the quality of clinical services provided by both them and others and identifies barriers which may hinder effective patient care. The Case Manager performs Utilization Review of the medical necessity and appropriateness of care using InterQual criteria of patients admitted to Gila River Health Care inpatient unit: assessing patient admissions and continued stay criteria to identify issues that may delay patient discharge and facilitate resolution of these issues.
Critical Tasks:
  • Demonstrates a culture of kindness through all interactions whether verbal or non-verbal with all GRHC staff members, partner facilities staff and vendors.
  • Manages and oversees assigned patient case load to ensure delivery of all covered services identified for continuity of care across all levels of care and involved providers to achieve the optimal clinical, financial, operational, and patient satisfaction outcomes.
  • Maintains HIPAA standards of patient confidentiality during all interactions whether written, verbal, or electronic.
  • Establishes and promotes a collaborative relationship with members of the healthcare team within GRHC and outside facility partners.
  • Serves as Case Manager between referral hospitals, treatment facilities and patients/patient's families to ensure delivery of effective and appropriate assistance and follow-up for returning to pre/post hospitalization status/care.
  • Reviews charts of assigned patients to determine appropriate referral services based on assessed patient needs.
  • Facilitates, schedules and/or participates in a variety of patient Case Management activities to ensure patient and/or family personal and health care needs are met in a timely manner; proactively identifies alternative resources as needed.
  • Participates in "on-call" for Case Management Department and Utilization Review
  • Performs Utilization Review of patient chart to ensure compliance with established InterQual criteria to maximize reimbursement/coverage of charges.
  • Evaluates inpatient medical necessity and appropriateness of care utilizing InterQual criteria, for optimizing outcomes.
  • Assesses patient admissions and continued stay to identify issues that may delay patient discharge and communicates to the interdisciplinary team while facilitating a resolution.
  • Collects and communicates pertinent, timely information to the health care team to fulfill utilization and regulatory requirements.
  • Collaborates with patient, family members, and other involved parties to ensure care coverage through private and governmental health care plans.
  • Collects outcome data to be used in identifying best practices and targeting performance improvement solutions.
  • Participates in departmental orientation, on the job training, and quality assurance programs/initiatives.
  • Receives and responds to patient concerns; research issues for corrective action as appropriate based on findings; escalates physician/provider concerns to appropriate parties and identifies alternative solutions.
  • Participates in a variety of department and hospital educational programs to maintain current skill and competency levels; identifies and discusses performance or training needs with Supervisor.
  • Participates in Community Events representing GRHC and Case Management Department with ability to educate on departmental functions.
  • Other duties as assigned by Case Management Director/Manager
  • Establishes goals and objectives for the department that meet or exceed GRHC's Code of Ethics and Standards for Conduct Policy.
  • Is familiar and remains current on safety and emergency management process for the department.

Required Qualifications:
  • Current State of Arizona or Compact State Registered Nurse license, BSN preferred.
  • Current CPR for Healthcare professional's certification
  • Must have at least 1-year previous case management experience, CCM certification preferred but must obtain within 2 years of hire.
  • Experience must include working in an acute care and/or home care setting for at least a 12-month period.
  • Native American population preferred.
  • Must have a working knowledge of Case Management, acute care and/or home care environments, community resources and resource/utilization management.
  • Case Management Specialty Area Requirements:
    • Pediatrics Case Manager - Must have at least 1 year Pediatrics experience
    • Cancer Case Manager - Must have at least 1 year oncology/hospice/or cancer case management experience
    • Pain Management Case Manager - Must have at least 1 year experience working with pain management patients/hospice patients.
    • Women's Health/High Risk Pregnancy Case Manager - Must have at least 1 year Women's Health/Pregnancy experience
    • Family Medicine Case Manager - Must have at least 1 year Medical-Surgical or Family Clinic experience
    • Internal Medicine Case Manager - Must have at least 1 year Medical-Surgical or Family Clinic experience
    • Emergency Department/Utilization Review Case Manager - Must have 1 year Medical-Surgical experience and/or 1 year Utilization Review experience

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