RN Care Manager, Care Management (Per Diem)

Work Location

Orange, California

Work Shift

Day – 08hrs (United States of America)

Why CHOC?

At CHOC, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you.

Job Summary

Reporting to the leadership of Care Management and Social Services, in collaboration with the VP of Population Health, this position is responsible for the delivery of care coordination services for patients admitted to an inpatient bed. The RN Care Manager will provide oversight for the inpatient care team which includes the case manager assistant and other members responsible for assisting patients and families with navigating the pediatric system of care. The RN Care Manager will review the formulated plan of care to facilitate the patient's care to care providers post discharge; works collaboratively with the interdisciplinary team to ensure care is delivered in an efficient and cost-effective manner; promotes efficient use of health care resources; and assumes a leadership role with the inpatient interdisciplinary team to achieve optimal clinical and resource outcomes.

Pay Range

Minimum $62.22 Midpoint $62.22 Maximum $63.24

Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.

Experience

• Required: Minimum two (2) years of nursing experience in a pediatric care or ambulatory setting.

• Preferred: Three (3) years of nursing experience in an emergency department and/or case management, care coordination, or transition of care. Previous pediatric experience and/or management and/or charge nurse role acceptable.

Education

• Required: Graduation with a bachelor’s degree from an accredited University.

• Preferred: Bachelor or master’s degree in Nursing or a health-related field from an accredited University.

Training

• Required: None required.

• Preferred: Certification in Case Management

Specialized Skills

• Required: Ability to work effectively under pressure due to changing priorities, interruptions, high/low census, payor demands and discharge planning demands. Excellent interpersonal communication, including conflict resolution, problem-solving, and negotiation skills. Clinical knowledge of multiple age groups, medical illness, and treatment plans according to disease process, diagnosis and anticipated LOS.

Strong organizational and time management skills, as evidenced by the capacity to multi-task and prioritize. Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients, and their families.

Demonstrates the knowledge and skills necessary to communicate with third-party payers to obtain authorization for the appropriate treatment setting for patients requiring medical, psych and chemical dependency treatment. Must be proficient in required competencies upon completion of orientation and maintain annual departmental competency requirements.

Ability to work collaboratively regardless of social, economic, and cultural backgrounds. Computer

knowledge to include skills in using Microsoft Office e.g., Excel, Word, PowerPoint, Access, etc.

• Preferred: Knowledge of CCS/Medi-Cal regulations and requirements. Knowledge of third-party payor requirements in order to optimize reimbursement. Ability to apply severity of illness/ intensity of service pediatric criteria to information extracted from clinical documentation.

Bilingual in English and Spanish.

Licensure

• Required: Registered Nurse (RN) – CA; Basic Life Support (BLS); Pediatric Emergency Assessment & Stabilization (PEARS) upon hire or must be obtained within six (6) months of hire with valid Pediatric Advanced Life Support (PALS)