Care Manager

Care Manager

The Care Manager at Shriners Hospitals for Children is responsible for coordinating and facilitating comprehensive, patient-centered care for children with complex medical needs, ensuring optimal outcomes and a seamless healthcare experience for patients and families.

Key Responsibilities

• Perform comprehensive assessments to identify patient and family needs, early in the care process, to ensure smooth progression throughout the continuum of care.
• Identify logistical needs, including travel, housing, and other non-clinical resources to facilitate access to care and refer to appropriate support staff.
• Develop individualized, goal driven care plans in collaboration with the interdisciplinary team to optimize patient outcomes.
• Balance available resources with patient preferences, to facilitate informed decision making.
• Utilizes knowledge of Medical Necessity, quality of care, and desired outcomes to support appropriate resource management.
• Support interdisciplinary team education and training.

Required Qualifications

• RN license in state of practice
• Basic Life Support (BLS) Required within 6 months of hire

Preferred Qualifications

• 1-2 Acute Care/Pediatrics/Specialty Case Management Preferred
• Knowledge of care coordination models and regulatory guidelines (e.g., CMS, URAC)
• CCM, ACM
• BSN

Compensation is determined based on years of relevant experience and departmental equity.