Ambulatory Case Manager; Part Time, Non-benefitted

Work Location

Orange, California

Day – 08hrs (United States of America)

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.

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. This is a part time (non-benefitted), grant funded position. The expectation is that this person will work 8-20 hours per week.

Minimum $52.93 Midpoint $70.13 Maximum $87.32

• 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.

• 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.

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

• 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.

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

Light
- Moderate energy level. Lift and carry 25‑35 lbs. Push/pull 50‑100 lbs. (e.g., empty bed, stretcher).

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

Lifting (Floor to waist level) - Constant 67 or more%, Lifting (Floor to waist level) - Frequent 36‑66%, Lifting (Floor to waist level) - Occasional 0‑35%, Lifting (Waist level and above) - Constant 67 or more%, Lifting (Waist level and above) - Frequent 36‑66%, Lifting (Waist level and above) - Occasional 0‑35%

Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision

Airborne Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations

CHOC does not discriminate on the…