Registered Nurse (RN) Care Manager - Per Diem

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

Job summary

Shriners Children’s is seeking an RN Care Manager to join our pediatric care team. The role focuses on advocating for patients and families, coordinating care across the care continuum, and ensuring adherence to treatment plans.

The position requires a BSN and an active RN license in the state of practice. The organization emphasizes interdisciplinary teamwork, patient education, and seamless transitions of care across our network of hospitals and clinics.

Qualifications

• BSN required
• Registered Nurse license in state of practice

Responsibilities

• Advocates for patient and family within treatment plan and guidelines.
• Collaborates with interdisciplinary team to meet facility goals.
• Performs intake assessments at initial visit or by phone.
• Coordinates care with Medical Home and other health care providers.
• Provides discharge/transition assessments and identifies barriers.
• Facilitates medication management and adherence with proactive follow-up.
• Reviews service authorizations to support medical necessity and level of care.

Education

BSN

Job description

Company Overview

Shriens 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

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.

Salary and Compensation

The pay range for this position is $73.05 - $103.03/hour. Compensation is determined based on years of relevant experience and departmental equity.

Benefits

Eligible Shriners Children’s employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance, retirement matching and so much more!

Locations and Opportunities

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.