RN Care Manager, Nephrology

CHOC; Orange (CA); On-site; USD 73,000 - 120,000; Full time

Job summary

RCH in Orange, CA is seeking a skilled pediatric nurse to deliver care coordination in a clinic setting. You will plan and execute family-centered care with nurses, social workers, physicians, and caregivers to meet patient needs and ensure seamless transition through the continuum of care.

Responsibilities include advocating for optimal health, coordinating resources, and providing a full range of nursing care.

Qualifications

• Two years of pediatric nursing experience in a clinic, hospital, or ambulatory setting.
• Preferred: three or more years in emergency department, case management, care coordination, or transition of care; pediatric management/charge nurse acceptable.
• RN license in California and current BLS certification are required.

Responsibilities

• Deliver comprehensive care coordination for patients in the clinic setting.
• Plan and provide family-centered care with patients, families, and the care team.
• Advocate for optimal health and access to care, using appropriate resources.
• Provide full range of nursing care and be panel eligible with CCS for collaborative care.

Skills

Interpersonal communication

Conflict resolution

Problem solving

Negotiation

Organization & time management

Multi-tasking

Independent work

Communication with payers for authoriz

MS Office proficiency

Education

Bachelor of Science in Nursing (BSN)

Master’s Degree in Nursing (preferred)

Tools

Microsoft Office

Job description

Work Location

Orange, California

Work Shift

Day – 08hrs (United States of America)

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.

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.

We encourage individuals from all backgrounds to apply for positions at RCH, 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.