Registered Nurse (RN) Care Manager - Per Diem

150 Shriners Hospitals for Children; Sacramento (CA); On-site; USD 101,000 - 142,000; Full time

Job summary

Shriners Children's in Sacramento is seeking a registered nurse to join our care management team as an RN Care Manager. You will advocate for patients and families, coordinate across disciplines, and ensure care aligns with treatment plans and UR/UM guidelines.

Responsibilities include intake assessments, discharge planning, medication management, and collaboration with the Medical Home to improve outcomes. California licensure and 5+ years pediatric experience preferred.

Qualifications

• BSN required and active California nursing license.
• Experience with disease management and application of motivational interview techniques.

Responsibilities

• Advocates for patient and family while adhering to treatment plans and nursing/case management standards.
• Collaborates with interdisciplinary teams to meet facility goals and metrics.
• Performs intake assessments at initial visit or by phone prior to first appointment.
• Ensures coordinated care by communicating with Medical Home and other care teams.
• Provides discharge/transition assessments and develops plans to improve outcomes and reduce length of stay.
• Supports medication management and adherence through proactive follow-up with providers and families.
• Reviews service authorization and documentation to support medical necessity and appropriate level of care.
• Empowers patient/family to participate in the care plan.

Skills

Disease management

Motivational interviewing

Education

BSN

Job description

Company Overview

Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family's ability to pay or insurance status.

Please click here to learn more about our locations.

Job Description

Shriners Children's, the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center, has an opportunity for a RN Care Manager to join our team.

Key Responsibilities

• Advocates for the patient and his/her family while adhering to the overall treatment plan; UR/UM guidelines; policies and procedures of SHC; state, regulatory requirements and nursing and case management standards of practice.
• Work collaboratively with interdisciplinary team consisting of Social Worker, Resource Navigator, Patient Access, HIM, CDI/UM Specialist, UR Specialist, Corporate staff and others; to meet the overall goals of the organization and metrics specific to the assigned facility
• Perform Intake assessments of new patients at initial visit or by phone prior to first appointment, based on stratification criteria.
• Works to ensure patient's coordinated care by collaborating and communicating with patient's Medical Home and/or other health care
• Provides discharge/transition assessments, identifying barriers that affect length of stay, identifying barriers to successful clinical outcomes, developing plan of care, facilitates interventions and evaluates adherence to treatment plan through proactive patient engagement for care transitions across the care continuum.
• Works with providers, patient/family to facilitate medication management/adherence through proactive follow-up.
• Reviews authorization for services, orders and documentation to support medical necessity and level of care, prior to and during encounters, in conjunction with CDI/UM specialists and patient access.
• Assures pt./family have knowledge to manage care, manage health, prevent secondary disabilities and are empowered to be responsible for participating in plan of care.

Required Qualifications

• BSN
• Experience with disease management and application of motivational interview techniques
• License in state of practice

Preferred Qualifications

• 5+ years of clinical experience in Pediatrics, Burn care and/or Orthopaedics.
• 3-5 years Care Coordination/Case Management experience.
• Experience with utilization review/management with a working knowledge of InterQual criteria.

The pay range for this position is $73.05 - $103.03/hour.

Compensation is determined based on years of relevant experience and departmental equity.