RN Care Manager, Inpatient

Children’s Hospital of Orange County; California; On-site; Full time

Job summary

Children’s Hospital of Orange County is seeking an RN Care Manager to oversee care coordination for pediatric patients. The role involves working with a team to ensure effective patient care and resource management. Candidates should have a strong nursing background, preferably in pediatrics, and excellent communication skills. Join a leading healthcare provider dedicated to children's health and make a meaningful impact in the community.

Qualifications

• Minimum two years nursing experience in pediatric acute care or ambulatory setting.
• Certification in Utilization Review and/or Case Management preferred.

Responsibilities

• Responsible for care coordination services for patients admitted to inpatient beds.
• Collaborates with interdisciplinary teams for efficient and cost-effective care.

Skills

Communication

Problem Solving

Negotiation

Organizational Skills

Time Management

Bilingual (English/Spanish)

Education

Bachelor’s degree from an accredited university

Bachelor’s or master’s degree in healthcare related field

Tools

Microsoft Office

Job description

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. Apply now to see where your career at CHOC 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. Reviews the formulated plan of care to facilitate 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 $51.89 Midpoint $68.75 Maximum $85.61

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 : Bachelor’s or master’s degree in healthcare related filed from an accredited university.

Training

• Required : None required.
• 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. Proficient skills in Microsoft Office e.g., 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. Demonstrate 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) upon hire or must be obtained within six (6) months of hire with valid Pediatric Advanced Life Support (PALS); 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 :

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.