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RN Care Manager- Per Diem

Company: CHOC Children's
Location: Orange
Posted on: January 15, 2020

Job Description:

Work LocationOrange, California

Work ShiftDay - 08hrs (United States of America)Why CHOC?

At CHOC Children's, 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 Children's can be as diverse and fulfilling as you determine. CHOC Children'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 Children's can take you.

Job SummaryReporting to the leadership of Care Management and Social Services, in collaboration with the VP of Population Health, this position is responsible for the delivery of care coordination services for patients admitted to an inpatient bed. The RN Care Manager will provide oversight for the inpatient care team which includes the case manager assistant and other members responsible for assisting patients and families with navigating the pediatric system of care. The RN Care Manager will review the formulated plan of care to facilitate the patient's care to care providers post discharge; works collaboratively with the interdisciplinary 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 inpatient interdisciplinary team to achieve optimal clinical and resource outcomes.Qualifications:


  • 2+ years of nursing in pediatric acute care or ambulatory setting
  • Graduation from an accredited school of registered nursing
  • Leadership, communication, conflict resolution, cultural sensitivity. Able to work autonomously and be accountable for work, with attention to detail. Demonstrates effective written and verbal communication skills; critical thinking and problem solving skills; ability to resolve conflicts, including situations where there may be conflicting priorities. Excellent interpersonal skills regarding the hospital staff, patients, visitors, etc. Intermediate computer skills, including use of e-mail and experience in use of MS Office Word and Excel
  • Basic Life Support
  • Registered Nurse-California


    • 3+ years of nursing in pediatric acute care or ambulatory setting.
    • Previous experience in case management, care coordination, or discharge planning role.
    • 1 year experience in management position, (charge nurse acceptable)
    • Bachelor's degree in health related field
    • Certification in Utilization Review and/or Case Management
    • Training in application of level of care/medical necessity criteria (i.e. Interqual or Milliman and Roberts)
    • 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; Demonstrates knowledge of third party payor methods.
    • Certified Pediatric Nurse
    • Have Pears or Pals cert

Keywords: CHOC Children's, Orange , RN Care Manager- Per Diem, Executive , Orange, California

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