Job Description
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. 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 We are seeking an experienced RN Care Manager for our Spina Bifida patient population. The ideal candidate will bring solid experience in pediatrics, case management and complex care coordination in the outpatient setting. We are looking for a team player who contributes to a positive work culture and is committed to long-term growth and stability within a collaborative environment. Excellent communication skills are essential, including the ability to handle difficult conversations, provide closed loop communication and work well within existing team dynamics and support departmental continuity during times of change. Job Summary: Responsible for the delivery of care coordination services for patients in the clinic setting. Is involved in the planning and delivery of family-centered patient care through a collaborative process including the patient and family, nurses, social workers, physicians, other practitioners, caregivers and the community. Engages in excellent communication, both verbal and written and facilitates care along the continuum. Advocates for and assist 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. Eligible to be paneled by CCS to provide collaborative comprehensive care in a multidisciplinary setting. 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 experience in nursing within pediatric care or in an ambulatory setting. Preferred: Three (3) plus 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: Graduation with a Bachelor Degree in nursing from an accredited University. Preferred: Master's Degree in Nursing from an accredited University. Training Required: None required. Preferred: Certification in 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, 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/ intens