RN Care Manager

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations. Job Description The RN Care Manager position requires a thorough understanding of clinical financial, administrative, and psychosocial components of the heath-care continuum. The RN Care Manager is responsible for providing assessments, planning, interventions and follow-up for patients and family members at Shriners Hospitals across the continuum of care. These services are provided fact to face or telephonically to facilitate the creation of and adherence to, a treatment plan and optimize patient health. In conjunction with the interdisciplinary team, this position proactively addresses potential or actual clinical and/or psychosocial needs identified through screening to ensure developmental, level of care and health status transitions are safe, seamless, and coordinated. We are looking for a full time RN Care Manager to join our team. Key Responsibilities: Documents assessments, interventions, plans and evaluations in accordance with regulatory agency requirements and SHC policy Maintaining current knowledge of pediatric specialty practice, health care economics, trends, and reimbursement methodologies Collaborates by working with patients, families, caregivers, and the health care team locally and within the SHC systems to jointly communicate, problem solve, and share accountability for optimal outcomes Coordinates the plan of care to achieve desired outcomes and integrates the work of the health care team including the patient's Primary Care/Medical Home by coordinating resources and services necessary to accomplish agreed upon goals Arranges services among community agencies, physicians, patients, family, caregivers, and others involved in the plan of care Utilizes knowledge of Medical Necessity, quality of care, and desired outcomes to assure appropriate Resource Management Required Qualifications: Bachelor in Nursing (BSN) 3 years nursing experience Current California RN license Preferred Qualifications: Master's in Nursing, or other Healthcare Related field 1 year Care Management in Pediatrics 5 years clinical experience in one or more of the facility's service lines (SCL, Pediatric Orthopedic Burn Care, cleft lip and palate) The pay range for this position is $97,094.40 - $188,139.74. Compensation is determined based on years of relevant experience and departmental equity.