RN Care Manager - Gastroenterology

CHOC Children's; Orange (CA); Sur place; USD 73 000 - 120 000; Plein temps

Résumé du poste

CHOC Children’s in Orange, California seeks a care coordination nurse to deliver family-centered, collaborative care in a pediatric clinic setting. You will coordinate services across nurses, social workers, physicians, and the community to ensure smooth transitions and optimal patient outcomes.

The role requires strong communication, planning, and advocacy to support access to care and appropriate resources for diverse pediatric populations, including complex cases and managed care coordination.

Qualifications

• Bachelor Degree in nursing from an accredited University is required.
• Master’s Degree in Nursing is preferred.
• Certification in Case Management is preferred.
• BLS and RN licensure required.

Responsabilités

• Delivery of care coordination services for patients in the clinic setting.
• Plan and deliver family-centered patient care through collaboration with patient, family, nurses, social workers, physicians, other practitioners, caregivers and the community.
• Advocate for optimal health, access to care, and appropriate resources.

Connaissances

Care coordination

Pediatrics

Communication

Time management

Formation

Bachelor Degree in Nursing

Master's Degree in Nursing

Outils

Microsoft Office

Description du poste

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.

Work Location

Orange, California

Work Shift

Day – 08hrs (United States of America)

Environment Sustainability Statement

Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety.

Job Summary

Responsible for the delivery of care coordination services for patients in the clinic setting. Is involved in the planning and delivery of family-centered patient care through a collaborative process including the patient and family, nurses, social workers, physicians, other practitioners, caregivers and the community. Engages in excellent communication, both verbal and written and facilitates care along the continuum. Advocates for and assist in the achievement of optimal health, access to care, and to utilize the appropriate resources. Provides a full range of nursing and assists in meeting the comprehensive care needs of the patients and their families. Eligible to be paneled by CCS to provide collaborative comprehensive care in a multidisciplinary setting.

Demonstrates strong clinical knowledge and nursing expertise in the management of complex pediatric and specialty populations. Possesses excellent communication, collaboration, and relationship-building skills to effectively engage patients, families, providers, payers, community agencies, and interdisciplinary team members. Exhibits resilience, adaptability, and critical thinking while navigating complex healthcare systems, managed care requirements, and evolving patient needs. Utilizes leadership skills to influence care planning, facilitate problem-solving, support care coordination best practices, and promote quality patient outcomes. Serves as a patient and family advocate, fostering a patient-centered approach that supports equitable access to care, seamless transitions, and optimal health outcomes. Experience coordinating care for medically complex patients, including those with gastrointestinal conditions and within gastroenterology specialty practices, is preferred. Experience navigating managed care, chronic disease management, multidisciplinary care models, and community resources is highly desirable.

Pay Range

Minimum $52.93 Midpoint $70.13 Maximum $87.32

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 experience in nursing within pediatric care or in an ambulatory setting.
• Preferred: Three (3) plus 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: Graduation with a Bachelor Degree in nursing from an accredited University.
• Preferred: Master's Degree in Nursing 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 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 (Excel, Word, Power Point, Access)
• 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

Licensure

• Required: Basic Life Support (BLS); Registered Nurse - CA (RN).
• Preferred: Certified Pediatric Nurse (CPN); Certified Case Manager (CCM); Commission for CM Certification (CCMC), Pediatric Advanced Life Support (PALS) Certification

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

Non-Discrimination Statement

CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring.

We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.

If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.