RN Care Manager, Care Coordination, Per-Diem

Work Location Orange, California Work Shift Day – 08hrs (United States of America) Why CHOC? At CHOC Children’s, 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 Children’s can be as diverse and fulfilling as you determine. CHOC Children’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 Children’s can take you. Job Summary The RN Care Manager is responsible for the delivery of care coordination services for patients admitted to an inpatient bed. Provides 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. This role reviews the formulated plan of care which facilitates 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 $61.00 Midpoint $61.00 Maximum $62.00 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 acute 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 roll acceptable. Education * Required: Bachelor’s degree from an accredited University. * Preferred: Master’s degree in Nursing or health related field from an accredited University. Training * Preferred: Certification in Utilization Review and/or 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 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. Knowledge of computer systems and software used in functional area such as Microsoft Office (Excel, Word, Power Point, Access). Ability to speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job. * Preferred: Knowledge of CCS/ Medi-Cal regulations and requirements. Knowledge of third-party payor requirements in order to optimize reimbursement. Strong knowledge of third-party payor methods. Ability to apply severity of illness/ intensity of service pediatric criteria to information extracted from clinical documentation. Bilingual in English/ Spanish. Licensure * Required: Basic Life Support (BLS); Ped Emerg Assess Recog & Stabil (PEARS); Registered Nurse – CA (RN) * Preferred: Certified Pediatric Nurse (CPN); Certified Case Manager (CCM) Work Environments - Functional Demand: Light - Moderate energy level Lift and carry 25-35 lbs. Push/pull 50-100 lbs. (ie. empty bed, stretcher). Physical Activity Requirements: Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Occasional 0-35% Sensory Requirements: Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements: Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations Recognized year after year as national leader in employee engagement, and named one of the best children’s hospitals by U.S. News & World Report, this is an exciting time to be at CHOC Children’s. Our campus is constantly growing and offering new state-of-the art programs and services as we continue to meet the needs of more than 250,000 children annually, making the opportunities for career enrichment endless. We offer highly competitive salary levels and benefits, but the personal growth and fulfillment you’ll find at CHOC, coupled with an inspiring mission to nurture, advance, and protect the health and well being of children, are perhaps the most valuable payouts of all. We hope you will join our dedicated and talented team of associates committed to the highest standards of care and making a difference in the lives of children in Orange County – and beyond. We're always in search for our next Defender of Childhood! If you don't see a position of interest, or you're simply not ready to apply, feel free to join our Talent Network.

Salary : $61 - $62