RN Care Manager - Gastroenterology

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.

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.

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.

Demonstrates strong clinical knowledge and nursing expertise in the management of complex pediatric and specialty populations. Possesses excellent communication, collaboration, and relationship-building skills to effectively engage patients, families, providers, payers, community agencies, and interdisciplinary team members. Exhibits resilience, adaptability, and critical thinking while navigating complex healthcare systems, managed care requirements, and evolving patient needs. Utilizes leadership skills to influence care planning, facilitate problem-solving, support care coordination best practices, and promote quality patient outcomes.

Serves as a patient and family advocate, fostering a patient-centered approach that supports equitable access to care, seamless transitions, and optimal health outcomes. Experience coordinating care for medically complex patients, including those with gastrointestinal conditions and within gastroenterology specialty practices, is preferred. Experience navigating managed care, chronic disease management, multidisciplinary care models, and community resources is highly desirable.

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.

• 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.

• Required:
  
  Graduation with a Bachelor Degree in nursing from an accredited University.
• Preferred:
  Master's Degree in Nursing from an accredited University.

• Required:
  
  None required.
• Preferred:
  Certification in Case Management.

• 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…