Registered Nurse, Care Manager - Hypertonicity (Part Time)
About The Position
The Registered Nurse, Care Manager delivers care coordination services for patients in a clinic setting. The role participates in planning and delivering family-centered care through a collaborative process involving patients and families, nurses, social workers, physicians, other practitioners, caregivers, and community partners. The Care Manager communicates effectively, facilitates care across the continuum, advocates for access to care and optimal health, helps patients use appropriate resources, and provides nursing support for patients’ and families’ comprehensive care needs. The role is eligible to be paneled by CCS to provide collaborative, comprehensive care in a multidisciplinary setting. The position coordinates care for complex pediatric and specialty populations across healthcare settings and community resources. It partners with multidisciplinary care teams, providers, therapists, rehabilitation programs, vendors, schools, agencies, and other care partners to support coordinated, patient- and family-centered care.
Requirements
- Bachelor’s degree in nursing from an accredited university.
- At least two years of nursing experience in pediatric care or an ambulatory setting.
- Basic Life Support (BLS).
- California Registered Nurse (RN) license.
- Ability to work effectively under pressure amid changing priorities, interruptions, census changes, payer demands, and discharge-planning demands.
- Excellent interpersonal communication, conflict-resolution, problem-solving, and negotiation skills.
- Clinical knowledge of multiple age groups, medical illnesses, and treatment plans related to disease processes, diagnoses, and anticipated length of stay.
- Strong organizational and time-management skills, including the ability to multitask and prioritize.
- Ability to work independently and exercise sound judgment when interacting with physicians, payers, patients, and families.
- Ability to communicate with third-party payers to obtain authorization for appropriate treatment settings for patients requiring medical, psychiatric, or chemical-dependency treatment.
- Ability to complete required competencies during orientation and maintain annual departmental competency requirements.
- Ability to collaborate effectively with people from varied social, economic, and cultural backgrounds.
- Computer skills, including Microsoft Office applications such as Excel, Word, PowerPoint, and Access.
Nice To Haves
- Three or more years of nursing experience in an emergency department and/or in case management, care coordination, or transition of care; previous pediatric experience and/or management or charge nurse experience is acceptable.
- Master’s degree in nursing from an accredited university.
- Certification in Case Management.
- Knowledge of CCS/Medi-Cal regulations and requirements.
- Knowledge of third-party payer requirements to optimize reimbursement.
- Ability to apply pediatric severity-of-illness and intensity-of-service criteria to information from clinical documentation.
- Bilingual ability.
- Certified Pediatric Nurse (CPN) credential.
- Certified Case Manager (CCM) credential.
- Commission for Case Manager Certification (CCMC) credential.
- Pediatric Advanced Life Support (PALS) certification.
Responsibilities
- Deliver care coordination services for patients in the clinic setting.
- Participate in planning and delivering family-centered patient care in collaboration with patients, families, nurses, social workers, physicians, practitioners, caregivers, and community partners.
- Communicate effectively and facilitate care across the continuum.
- Advocate for optimal health, access to care, and appropriate use of resources.
- Provide nursing care and assist in meeting the comprehensive care needs of patients and their families.
- Coordinate referrals, treatment planning, equipment and services, transitions of care, and longitudinal patient monitoring.
- Collaborate with providers, therapists, rehabilitation services, vendors, community agencies, schools, and other care partners.
- Identify barriers to care, facilitate problem-solving, and advocate for patient and family needs.
- Communicate with third-party payers to obtain authorization for appropriate treatment settings.
- Support comprehensive care plans and partnerships intended to improve access, outcomes, and patient experience.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
