Rn case manager Jobs in Fullerton, CA

The Center for Inherited Blood Disorders (CIBD) is a passionate non-profit organization dedicated to delivering high-quality, comprehensive, and family-centered care that significantly enhances the lives of children and adults with blood disorders. By choosing a career with us, you'll be joining a vibrant team committed to advancing public health while also investing in your personal and professional growth. Explore the opportunity to make a real difference in the community while developing your skills in a supportive, mission-driven environment. Your contributions will help shape our future and transform lives!

Job Summary
Reporting to the Clinic Manager, the Care Manager RN coordinates the care and services of CIBD patients across the continuum of illness; promotes and monitors effective utilization of health care resources; and assumes a leadership role with the multi-disciplinary care team to achieve optimal clinical and resource outcomes. Operating in a Team Center Care model, the Care Manager adheres to the standards and regulations established by California Children’s Services (CCS), the Genetically Handicapped Persons Program (GHPP), the Joint Commission and other state and federally sponsored programs. The Care Manager RN is a vital member of the Case Management Team.

Department: Clinic
Schedule: M - F, 8:30 - 5:00
Type: On-site

Essential Duties

• Patient Coordination: Collaborate with patients to identify their needs and understanding of the care plan. Coordinate their care with external facilities, including home health agencies, third-party payers, pharmacies, and lab facilities.
• Effective Collaboration: Work closely with internal partners (e.g., physicians, nurses, authorization coordinators) and external providers (e.g., home health agencies, pharmacies, lab facilities) to ensure seamless coordination of care and fulfillment of orders from initiation to completion.
• Self-Management and Communication: Exhibit self-direction while effectively working with others. Demonstrate strong organizational and documentation skills. Employ effective written and verbal communication, utilizing strong computer skills for navigating the EMR, submitting electronic prescriptions, sending electronic approval requests, and engaging through email, Zoom, and Microsoft Teams. Use critical thinking and problem-solving capabilities to address conflicts and resolve issues while providing patient education.
• Team Support: Promote a comprehensive care team model and be prepared to become cross-trained as necessary for staffing support. Maintain strong communication to foster positive interpersonal relationships within the team.
• Program Development: Enhance the established program as it relates to the Care Manager’s assigned patient population through community outreach, engagement with school and community-based organization liaisons, active participation in committees, conference attendance, and additional duties.

Required Education/Experience

• Graduate from an accredited Registered Nurse (RN) Program.
• Minimum of two (2) years nursing experience in acute care or ambulatory setting.
• Ability to work onsite (not a remote role).

Required Licenses/Certifications

• Active California State Registered Nurse (RN) License.
• Basic Life Support certification (or obtain within first three months of hire).
• HIPPA training (or obtain within first three months of hire).

Additional Required Qualifications

• Knowledge of standardized nursing procedures in compliance with organizational policies and procedures.
• Solid understanding of regulatory requirements as set forth within nursing and clinic licensure.
• Proficiency with Electronic Medical Record databases.

Preferred Education/Experience/Skills

• Bachelor of Science in Nursing (BSN).
• Minimum one year of direct, full-time Case Management experience.
• Knowledge of CCS/GHPP/Medi-Cal regulations and requirements.
• Knowledge of third-party payer methods and regulations.
• Experience in hematology nursing.
• Experience with adults and pediatric patients.
• Bilingual English/Spanish.

Benefits

• 100% employee coverage and 50% dependent coverage of medical and vision; 99% employee coverage of dental
• Life insurance
• Paid Time Off
• 10 observed paid holidays
• 403b retirement plan with 4% match

Compensation listed is the expected salary base at time of hire. Actual compensation offered will be determined by factors such as location, level, job-related knowledge, skills, and experience.


About the Organization
The Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders (CIBD), a 501(c)3 non-profit organization, is committed to providing comprehensive care for patients and their families with rare, chronic inherited blood disorders. CIBD is a part of a nationwide network of over 140 Hemophilia Treatment Centers that use multidisciplinary teams of blood disorder specialists to provide expert comprehensive diagnosis, medical care, outreach, education, outcomes monitoring, surveillance, and prevention services to people with Hemophilia, Sickle-Cell Anemia, Thalassemia, Von Willebrand Disease, Mast Cell Activation Syndrome (MCAS) and other related benign hematology conditions. CIBD is the regional grantee for the Western States Region for Hemophilia, the Pacific Sickle Cell Regional Collaborative (PSCRC) and Networking California for Sickle Cell Care (NCSCC) providing regional leadership, fiscal and administrative oversight, grants management, capacity building, clinical education, technical assistance, evaluation, and outreach to public and private health agencies at the local, state, and federal levels.

The Center for Inherited Blood Disorders is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence.