Registered Nurse - Care Manager
About the job
- A Bachelor of Science in Nursing is required.
- Experience with disease management and application of motivational interviewing techniques is required.
- A license in the state of practice is required.
- Advocate for the patient and family while adhering to the overall treatment plan, utilization review and utilization management guidelines, organizational policies and procedures, state and regulatory requirements, and nursing and case management standards of practice.
- Collaborate with the interdisciplinary team, including Social Workers, Resource Navigators, Patient Access, Health Information Management, Clinical Documentation Improvement/Utilization Management Specialists, Utilization Review Specialists, corporate staff, and others, to meet organizational goals and facility-specific metrics.
- Perform intake assessments of new patients at the initial visit or by phone before the first appointment, based on stratification criteria.
- Coordinate patient care by collaborating and communicating with the patient’s medical home and/or other health care providers.
- Provide discharge and transition assessments; identify barriers affecting length of stay and successful clinical outcomes; develop plans of care; facilitate interventions; and evaluate adherence to treatment plans through proactive patient engagement across the care continuum.
- Work with providers and patients or families to facilitate medication management and adherence through proactive follow-up.
- Review service authorizations, orders, and documentation supporting medical necessity and level of care before and during encounters, in conjunction with Clinical Documentation Improvement/Utilization Management specialists and Patient Access.
- Ensure that patients and families know how to manage care and health and prevent secondary disabilities, and are empowered to participate in the plan of care.
- Five or more years of clinical experience in Pediatrics, Burn Care, and/or Orthopaedics are preferred.
- Three to five years of Care Coordination or Case Management experience are preferred.
- Experience with utilization review or utilization management and working knowledge of InterQual criteria are preferred.
About the company
Shriners Hospitals for Children runs 22 pediatric specialty hospitals in the U.S., Canada, and Mexico that provide advanced care for kids with orthopedic conditions, burns, spinal injuries, cleft lip/palate, and other neuromusculoskeletal needs. Care is delivered through teams in a family-centered approach that combines clinical treatment, rehabilitation, and research, with education and medical training as part of the program. It differs from many competitors by being a nonprofit, donation-supported system with a network across multiple locations, emphasizing family involvement, research, and education rather than a single profit-driven facility. Its goal is to deliver high-quality, compassionate care to children while advancing medical knowledge and training healthcare professionals, funded by charitable giving.
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Tampa, Florida
Founded
1922
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Simplify's Take
What believers are saying
- Shriners launched a new Las Vegas access point in August 2026 with Intermountain Health.
- Shriners’ 2026 fundraising pages show millions raised and thousands of donors systemwide.
- Boston researchers published burn-pain hydrogel work in June 2024, strengthening translational research.
What critics are saying
- Tampa closed in 2022, proving Shriners still prunes facilities when volumes shift.
- The 2026 Science conference was postponed, signaling execution strain in research programming.
- A prolonged donation slump forces service cuts across hospitals and clinics.
What makes Shriners Children's unique
- Shriners integrated 14 Motion Analysis Centers in 2026, creating the largest pediatric network.
- The Panama Clinic partnership, announced August 14, 2026, extends specialty care internationally.
- CHEO and Shriners Canada launched a joint metabolic-genetic bone disorders fellowship.
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Benefits
- Health Insurance
- Health Savings Account/Flexible Spending Account
- Disability Insurance
- Life Insurance
- Tuition Reimbursement
- Pet Insurance