RN Care Manager, Nephrology

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

Résumé du poste

RCH is seeking a dedicated nurse to deliver care coordination within the clinic setting. You will plan and provide family-centered care through collaboration among patients, families, nurses, social workers, physicians, and the community, ensuring effective communication and advocacy for optimal health and access to care.

The role emphasizes dedication to care coordination, CCS paneling eligibility, and collaboration across disciplines to meet diverse pediatric needs.

Qualifications

• Bachelor degree in nursing required.
• Master's degree in nursing preferred.
• Certification in Case Management preferred.
• Ability to work under pressure and manage priorities.
• Excellent communication with patients, families, and team.

Responsabilités

• Deliver care coordination in clinic setting.
• Plan and deliver family-centered care with the care team.
• Advocate for optimal health and access to care.

Connaissances

Under pressure

Interpersonal skills

Clinical knowledge

Time management

Independent work

Payer authorization

MS Office

Formation

Bachelor's Degree in Nursing

Master's Degree in Nursing

Description du poste

Why RCH?

At RCH, 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 RCH can be as diverse and fulfilling as you determine. RCH’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)

Environmental 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.

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

RCH 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. RCH will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring.

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