Ambulatory Care Manager, CHOC Health Alliance

Location: California

** Work Location
** Orange, California
** Work Shift
** Day – 08hrs (United States of America)
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
** The Ambulatory Care Manager utilizes the nursing process to help members/ families that have experienced a critical event or have a diagnosis requiring extensive resources. Ensure care is delivered in an efficient and cost-effective manner in an effort to achieve optimal clinical 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 pediatric nursing experience and /or case management experience.
• Preferred:
Three (3) years of pediatric nursing experience and/or case management, care coordination, or transition of care.
** Education*
* •

Required:

Graduation from an accredited school of Registered Nursing;
Bachelor of Science degree in Nursing (BSN) Education
• Preferred:
Master of Science in Nursing or master’s degree in a health-related field from an accredited school.
** Training*
* •

Required:

None required.
• Preferred:
Certification in Utilization Review and/or Case Management Certified Pediatric Nurse.
** Specialized Skills*
* •

Required:

Ability to work effectively under pressure due to changing priorities. 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 clinical review and authorization requirements for Medi- cal. Ability to apply severity of illness/intensity of service pediatric criteria to information extracted from clinical documentation. Bilingual in English/ Spanish.
** Licensure*
* •

Required:

Registered Nurse – CA (RN).
• Preferred:
Ped Emerg Assess Recog & Stabil (PEARS);
Pediatric Advance Life Support (PALS). Basic Life Support (BLS);
** 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…