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How much do pediatric nurse case manager jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for pediatric nurse case manager in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a pediatric nurse case manager?

To thrive as a Pediatric Nurse Case Manager, you need a strong background in pediatric nursing, case management, and care coordination, typically supported by an RN license and, often, a case management certification (such as CCM or ACM). Familiarity with electronic health records (EHRs), care planning software, and insurance processes is essential for managing patient information and care plans. Excellent communication, organizational skills, and empathy are vital soft skills for collaborating with families, healthcare providers, and multidisciplinary teams. These skills help ensure that pediatric patients receive comprehensive, coordinated care that addresses both medical and psychosocial needs.

What are some common challenges pediatric nurse case managers face when coordinating care for children with complex medical needs?

Pediatric Nurse Case Managers often encounter challenges such as navigating fragmented healthcare systems, balancing the needs of patients and families, and ensuring clear communication among multidisciplinary teams. They must coordinate care plans across various specialties, manage insurance or authorization issues, and advocate for the best interests of the child. Strong organizational skills, empathy, and persistence are essential for overcoming these obstacles and ensuring that young patients receive comprehensive, continuous care.

What is a pediatric nurse case manager?

Pediatric Nurse Case Managers are registered nurses who specialize in coordinating and managing healthcare services for children with complex medical needs. They work closely with families, doctors, and other healthcare professionals to create and implement care plans that ensure the best possible outcomes for pediatric patients. Their responsibilities include assessing patient needs, coordinating treatments, educating families, and advocating for the child’s health and well-being. Pediatric Nurse Case Managers play a vital role in helping families navigate the healthcare system and access necessary resources.

What is the difference between Pediatric Nurse Case Manager vs Pediatric Care Coordinator?

AspectPediatric Nurse Case ManagerPediatric Care Coordinator
CredentialsRegistered Nurse (RN) license, case management certification often preferredVaries; may include RN, social worker, or health educator credentials
Work EnvironmentHospitals, clinics, insurance companies, home healthHospitals, clinics, community health programs
Primary FocusAssessing patient needs, coordinating care plans, advocating for childrenFacilitating communication among providers, scheduling, resource linkage

Both roles involve coordinating pediatric care, but Pediatric Nurse Case Managers focus more on clinical assessment and care planning, while Pediatric Care Coordinators emphasize communication and resource management. Understanding these differences helps in choosing the right career path or job fit.

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Pediatric Nurse Case Manager jobs near you
Infographic showing various Pediatric Nurse Case Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

Pediatric Nurse Case Manager I

Elevance Health

Clearwater Beach, FL • On-site

Other

Posted 11 days ago

Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

203rd of 307 rated insurance

Job description

Pediatric Nurse Case Manager I

Pediatric Nurse Case Manager

Location: The ideal candidate will reside within a reasonable distance from our Tampa, FL office. Candidates that reside in the following counties are STRONGLY encouraged to apply: Pinellas (LARGO, St. Petersburg, Clearwater).

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Shift: Monday - Friday, 8AM to 5PM EST.

The Pediatric Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.

How you will make an impact:

  • Ensures member access to services appropriate to their health needs.
  • Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
  • Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
  • Coordinates internal and external resources to meet identified needs.
  • Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
  • Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
  • Negotiates rates of reimbursement, as applicable.
  • Assists in problem solving with providers, claims or service issues.

Minimum Requirements:

  • Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted RN license in the state of Florida is required.

Preferred Skills, Capabilities, and Experiences:

  • Bilingual candidates strongly preferred.
  • Certification as a Case Manager is preferred.
  • 2+ years of experience with the pediatric population preferred.

Job Level: Non-Management Exempt

Workshift: Job Family: MED > Licensed Nurse

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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