RN Care Manager, Nephrology

Children's Hospital of Orange County • Orange, CA

10h

About The Position

The RN Care Manager, Nephrology, coordinates care for patients in a clinic setting. The role contributes to planning and delivering family-centered care through collaboration with patients and families, nurses, social workers, physicians, other practitioners, caregivers, and the community. It requires excellent verbal and written communication and facilitates care across the continuum. The Care Manager advocates for patients, helps them achieve optimal health and access to care, and supports the appropriate use of resources. The position provides a full range of nursing care and helps meet the comprehensive care needs of patients and families. The role is eligible for CCS paneling to provide collaborative, comprehensive care in a multidisciplinary setting.

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, payer demands, and discharge-planning demands.
• Excellent interpersonal communication skills, including conflict resolution, problem-solving, and negotiation.
• Clinical knowledge of multiple age groups, medical illnesses, and treatment plans according to 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 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 upon orientation and maintain annual departmental competency requirements.
• Ability to collaborate effectively across social, economic, and cultural backgrounds.
• Computer skills, including Microsoft Office (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 extracted 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

• Coordinate care for patients in a clinic setting.
• Participate in planning and delivering family-centered patient care in collaboration with patients and families, nurses, social workers, physicians, practitioners, caregivers, and the community.
• Communicate effectively in verbal and written interactions and facilitate care across the continuum.
• Advocate for patients and assist them in achieving optimal health and access to care.
• Help patients and families use appropriate resources.
• Provide nursing care and assist in meeting patients’ and families’ comprehensive care needs.

What This Job Offers

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