• Philadelphia, Pennsylvania
    4 days ago

    Job Description

    Company Overview


    Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.


    With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.


    CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the "Jobs Hub"


    Job Description


    Job Summary

    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 Qualfications

    • 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.

    Numbers & Facts

    LocationPhiladelphia, Pennsylvania
    Websiteshrinerschildrens.org/en/locations?listPage=1

    Skills

    • Acute Careunmatched
    • Ambulatory Careunmatched
    • Basic Life Support (BLS)unmatched
    • Case Managementunmatched
    • Content Management Systems (CMS)unmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Qualityunmatched
    • Hospitalunmatched
    • Insuranceunmatched
    • Needs Assessmentunmatched
    • Outpatient Careunmatched
    • Patient Assessmentunmatched
    • Patient Careunmatched
    • Pediatricsunmatched
    • Quality of Careunmatched
    • Registered Nurse (RN)unmatched
    • Regulationsunmatched
    • Resource Managementunmatched
    • Set Goalsunmatched
    • Standards of Careunmatched
    • Utilization Review Accreditation Commission (URAC)unmatched

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