PDN Registered Nurse Case Manager
On-siteDallas, Texas, United States
Job Summary
Serve as the clinical quarterback for each child enrolled in the Prescribed Pediatric Extended Care program, owning the full lifecycle from referral intake through ongoing plan-of-care management. Conduct initial nursing assessments, coordinate transitions of care, and act as the primary clinical liaison between families, physicians, therapists, and outside providers. Develop and continuously update individualized plans of care, obtain insurance authorizations, and maintain accurate, HIPAA-compliant documentation in the EHR. Build trusting relationships with families while advocating for their children across the healthcare continuum. Full-time, exempt Monday–Friday daytime schedule with competitive pay and comprehensive benefits.
Required Qualifications
- Active, unrestricted Registered Nurse (RN) license in the state of practice
- Current BLS/CPR certification
- Minimum 2–3 years of pediatric nursing experience
- Working knowledge of medically complex, technology-dependent pediatric care
- Strong understanding of pediatric plans of care, physician orders, and care coordination
- Excellent written and verbal communication skills
- Proficiency with EHR systems and Microsoft Office / Google Workspace
Desired Qualifications
- BLS/CPR certification (AHA preferred)
- PALS preferred
- BSN
- Prior case management, care coordination, or utilization review experience
- Experience working with Medicaid, Medicaid MCOs (STAR Kids, STAR), and private insurance for pediatric authorizations
- Familiarity with PPEC, pediatric medical day care, or pediatric skilled nursing regulations
- Bilingual (English/Spanish)
- Case Management Certification (CCM, ACM, or RN-BC)
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