RN Care Manager, Primary Care Adolescent Clinic

Work Location and Shift Work Location Orange, California. Work Shift Day – 08hrs (United States of America). 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 $87.32. Rate 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 skills include: 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. Proficiency 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. Preferred: Knowledge of third-party payor clinical review and authorization requirements. Preferred: Ability to apply severity of illness/intensity of service pediatric criteria to information extracted from clinical documentation. Preferred: 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. Physical Activity Requirements: Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation. 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 Vision. Environment Requirements: Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations. Non-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. #J-18808-Ljbffr Children’s Hospital of Orange County