RN Care Manager, Outpatient - Spina Bifida Clinic

CHOC • Orange, CA

11d • $53 - $87 • Onsite

About The Position

We are seeking an experienced RN Care Manager for our Spina Bifida patient population. The ideal candidate will bring solid experience in pediatrics, case management and complex care coordination in the outpatient setting. We are looking for a team player who contributes to a positive work culture and is committed to long-term growth and stability within a collaborative environment. Excellent communication skills are essential, including the ability to handle difficult conversations, provide closed loop communication and work well within existing team dynamics and support departmental continuity during times of change. 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.

Requirements

• Minimum two (2) years of experience in nursing within pediatric care or in an ambulatory setting.
• Graduation with a Bachelor Degree in nursing from an accredited University.
• Basic Life Support (BLS)
• Registered Nurse - CA (RN).
• 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)

Nice To Haves

• 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.
• 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 in order to optimize reimbursement
• Ability to apply severity of illness/ intensity of service pediatric criteria to information extracted from clinical documentation
• Certified Pediatric Nurse (CPN)
• Certified Case Manager (CCM)
• Commission for CM Certification (CCMC), Pediatric Advanced Life Support (PALS) Certification

Responsibilities

• Responsible for the delivery of care coordination services for patients in the clinic setting.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees