Registered Nurse, Care Manager - Hypertonicity (Part Time)

Children's Hospital of Orange County • Orange, CA

10d • Onsite

About The Position

Responsible for delivering care coordination services for patients in the clinic setting. Participates in planning and delivering family-centered patient care through collaboration with patients and families, nurses, social workers, physicians, other practitioners, caregivers, and the community. Communicates effectively and facilitates care across the continuum, advocates for patients, and helps them achieve optimal health and access appropriate resources. Provides a full range of nursing services and helps meet the comprehensive care needs of patients and their families. The position is eligible for CCS paneling to provide collaborative, comprehensive care in a multidisciplinary setting.

The role coordinates care for complex pediatric and specialty populations across the continuum. It partners with multidisciplinary teams, primary care providers, specialty physicians, physical and occupational therapy programs, vendors, community agencies, schools, and other care partners to support seamless, patient- and family-centered care. The ideal candidate coordinates referrals, treatment plans, equipment and services, transitions of care, and longitudinal patient monitoring; builds relationships with stakeholders; identifies barriers and advocates for patient and family needs; and adapts to complex cases and changing priorities.

Requirements

• At least two years of nursing experience in pediatric care or an ambulatory setting.
• Bachelor’s degree in nursing from an accredited university.
• Basic Life Support (BLS) certification.
• California Registered Nurse (RN) license.
• Ability to work effectively under pressure amid changing priorities, interruptions, census changes, payor 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 based on disease process, diagnosis, 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, including medical, psychiatric, and chemical-dependency treatment.
• Ability to complete required competencies after orientation and maintain annual departmental competency requirements.
• Ability to collaborate with people across social, economic, and cultural backgrounds.
• Computer skills, including Microsoft Office applications: Excel, Word, PowerPoint, and Access.
• Experience coordinating care for complex patient populations across multiple specialties, healthcare settings, and community resources.
• Ability to collaborate with therapy programs, providers, rehabilitation services, vendors, and community partners to support comprehensive care plans.
• Strong care coordination skills, including referrals, treatment planning, equipment and service coordination, transitions of care, and longitudinal patient monitoring.
• Excellent communication and relationship-building skills with patients, families, providers, therapists, community agencies, and other stakeholders.
• Ability to build partnerships across internal departments and external organizations to improve access, outcomes, and patient experience.
• Resilience and adaptability in managing complex cases, competing priorities, and evolving healthcare needs.

Nice To Haves

• Three or more years of nursing experience in an emergency department and/or 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 payor 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) certification.
• Certified Case Manager (CCM) certification.
• Commission for Case Management Certification (CCMC) certification.
• 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 with patients, families, nurses, social workers, physicians, other practitioners, caregivers, and community partners.
• Communicate effectively and facilitate care across the continuum.
• Advocate for patients and help them achieve optimal health, access care, and use appropriate resources.
• Provide nursing services and help meet the comprehensive care needs of patients and families.
• Coordinate referrals, treatment planning, equipment and services, transitions of care, and longitudinal patient monitoring.
• Collaborate with primary care providers, specialty physicians, therapy programs, rehabilitation services, vendors, community agencies, schools, and other care partners.
• Identify barriers to care, facilitate problem-solving, and advocate for patient and family needs.
• Coordinate care for complex pediatric and specialty populations across multiple specialties, healthcare settings, and community resources.

Benefits

• CHOC states that its compensation structure, benefits offerings, and career development programs are geared toward helping employees achieve professional and personal goals.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level