Registered Nurse (RN) Care Manager - Per Diem

Shriners Children's; Sacramento (CA); On-site; USD 101,000 - 142,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Tuition assistance

Retirement matching

Job summary

Shriners Children’s is seeking an RN Care Manager to join our pediatric team, focusing on care coordination, discharge planning, and patient advocacy across our network of hospitals and clinics in the U.S. and beyond.

Required BSN and RN license with experience in pediatrics; strong UR/UM navigation, collaboration with multidisciplinary teams, and patient-family advocacy are essential. Comprehensive benefits and growth opportunities await in our nationwide programs.

Qualifications

• BSN with disease management experience and motivational interviewing techniques.
• RN license in the state of practice.
• Experience with pediatric care coordination is preferred.

Responsibilities

• Advocates for patients and families within treatment plans and UR/UM guidelines.
• Collaborates with interdisciplinary teams to meet organizational goals.
• Performs intake assessments at initial visit or by phone prior to first appointment.
• Ensures coordinated care with Medical Home or other health care teams.
• Provides discharge/transition assessments and plans to reduce barriers to outcomes.
• Supports medication management and adherence through proactive follow-up.
• Reviews service authorizations and documentation for medical necessity.

Skills

Motivational interviewing

Pediatric care

Care coordination

Education

BSN

RN license in state of practice

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.

Job Description 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. Every day, we provide innovative, compassionate care and conduct leading research that enhances the quality of life for children and their families. We invite you to explore the many rewarding career paths at Shriners Children’s, from clinical and non-clinical positions to education and research opportunities. We’re always looking for driven, compassionate professionals to join our team as nurses, physical therapists, medical assistants, administrative staff and much more. No matter where you're located, you'll find openings at our Shriners Children’s facilities across the U.S., in Canada and Mexico and at our corporate headquarters in Tampa, Florida. Eligible Shriners Children’s employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance, retirement matching and so much more!