Care Manager

Shriners Children's • Philadelphia, PA

13d

About The Position

The Care Manager at Shriners Hospitals for Children coordinates and facilitates comprehensive, patient-centered care for children with complex medical needs. The role supports optimal outcomes and a seamless healthcare experience for patients and families by assessing needs, coordinating resources, and developing care plans with the interdisciplinary team.

Requirements

• RN license in the state of practice.
• Basic Life Support (BLS) certification required within 6 months of hire.

Nice To Haves

• 1–2 years of acute care, pediatrics, or specialty case management experience.
• Knowledge of care coordination models and regulatory guidelines, such as CMS and URAC.
• CCM or ACM certification.
• BSN.

Responsibilities

• Perform comprehensive assessments early in the care process to identify patient and family needs and support smooth progression throughout the continuum of care.
• Identify logistical needs, including travel, housing, and other non-clinical resources, and refer patients and families to appropriate support staff.
• Develop individualized, goal-driven care plans in collaboration with the interdisciplinary team to optimize patient outcomes.
• Balance available resources with patient preferences to facilitate informed decision-making.
• Use knowledge of medical necessity, quality of care, and desired outcomes to support appropriate resource management.
• Support interdisciplinary team education and training.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed