RN Care Manager IV, Outpatient, Care Coordination - Cardiology, Full Time

Work Location

Orange, California

Work Shift

Day 08hrs (United States of America)

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.

Job Summary

The RN Care Manager IV is responsible for the delivery of care coordination services for patients in the specialty clinics.

Is involved in the planning and delivery of family centered patient care through a collaborative process including the patient, patient’s family, nurses, social workers, physicians, other practitioners, caregivers and the community.

Advocates for and assists 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.

Registered Nurse, eligible to be paneled by CCS to provide collaborative comprehensive care in a multidisciplinary setting.

Pay Range

Minimum $57.20 Midpoint $75.80 Maximum $94.40

Experience

• Required : Minimum two (2) years of experience in nursing, pediatric care or in an ambulatory setting. Must meet the requirements and submit proof annually as outlined by the Professional Nurse Clinical Ladder PACE Program for Clinical Level IV Nurse.
• Preferred : Three (3) 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.

Education

• Required : Bachelor’s degree from an accredited University.
• Preferred : Bachelor’s or Master’s degree in Nursing or a health related field from an accredited University.

Training

Required : None required.

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, 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).

Preferred : 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.

Bilingual in English and Spanish.

Licensure

• Required : Basic Life Support (BLS); Registered Nurse CA (RN); Ped Emerg Assess Recog & Stabil (PEARS) upon hire or must be obtained within six (6) months of hire with valid Pediatric Advanced Life Support (PALS).
• Preferred : Certified Pediatric Nurse (CPN); Certified Case Manager (CCM); Commission for Case Manager Certification (CCMC).

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 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.

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.