Work Location
Orange, California
Work Shift
Why CHOC?
At CHOC, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you.
Environmental Sustainability Statement
Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety.
Job Summary
The RN Care Manager - Primary Care is responsible for the delivery of care coordination services for specific populations of patients. Provides oversight for the care team which includes the Primary Care Access Coordinator and other members responsible for assisting patients and families with navigating the pediatric system of care. Will formulate and continuously review the plan of care to facilitate the patient's care throughout their care; works collaboratively with the team to ensure care is delivered in an efficient and cost effective manner; promotes efficient use of health care resources; and assumes a leadership role with the care coordination and clinic team to achieve optimal clinical and resource outcomes.Pay Range
Minimum $52.93 Midpoint $70.13 Maximum $87.32Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
Experience
• Required: Minimum two (2) years of nursing experience in Case Management, or Care Coordination.
• Preferred: Three (3) years of nursing experience in an/or case management/, - care coordination. Previous pediatric experience and/or management, and/or charge nurse roll acceptable.
Education
• Required: Graduation from an accredited school of Registered Nursing; Bachelor of Science degree in Nursing (BSN) (effective on all external offers made after November 1, 2015) .
• Preferred: Master’s degree in Nursing or a health-related field from an accredited University
Training
• Required: None required.
• Preferred: Certification in Utilization Review and/or Case Management.
Specialized Skills
• Required: 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 and diagnosis. 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 coordinate care with Primary Care Access Coordinator to obtain authorization for the appropriate treatment setting for patients requiring medical and mental health, 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 Suite e.g., Excel, Word, Power Point, Access etc.
• Preferred: Knowledge of CCS/Medi-Cal regulations and requirements. Knowledge of third-party payor clinical review and authorization requirements. Ability to apply severity of illness/intensity of service pediatric criteria to information extracted from clinical documentation. Bilingual in English and Spanish.
Licensure
• Required: Basic Life Support (BLS); Registered Nurse – CA (RN)
• Preferred: Certified Case Manager (CCM), Commission for CM Certification (CCMC); Certified Pediatric Nurse (CPN).
Work Environments - Functional Demand:
Light - Moderate energy level Lift and carry 25-35 lbs. Push/pull 50-100 lbs. (ie. empty bed, stretcher).Physical Activity Lifting
Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Occasional 0-35%Sensory Requirements:
Color Discrimination, Depth Perception, Far Vision, Hearing, Near VisionEnvironment Requirements:
Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or ElevationsNon-Discrimination Statement:
CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring.
We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.
If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.