Registered Nurse III-V - Public Health- CMS- Enhanced Care Management

About The Position

The County of Riverside-Riverside University Health System- Public Health is currently recruiting for a Registered Nurse III-V for the Children's Medical Services - Youth Enhanced Care Management department located in Moreno Valley. This program ensures that California Children Service's (CCS) eligible children receive medically necessary, timely and coordinated care. This program serves children and youth with special health care needs and their families across Riverside County. Bilingual in Spanish is required.

Responsibilities

• Provide comprehensive nurse case management services to Enhanced Care Management (ECM) California Children’s Services clients, including intake, assessment, care planning, service coordination, and transition support.
• Facilitate multidisciplinary case conferences with healthcare providers and manage care plans to effectively address and resolve barriers to care and authorization requirements.
• Maintain timely and accurate documentation in Epic, monitor caseload performance metrics, and prepare materials for audits and compliance reviews.
• Education families on care plans, medications, medical equipment, and navigation of complex healthcare systems.
• Support quality improvement initiatives and respond to escalated issues in a professional and timely manner.
• Countywide travel to partner sites and clinics is required, and a valid California driver’s license is mandatory.

Requirements

• A Current CA Registered Nurse License.
• Basic Life Support (BLS) certification issued by the American Heart Association.
• Public Health Nursing Certificate (can obtain within 6 months of hire).
• Certified Case Manager (preferred but not required).
• A valid CA Driver's License.

Qualifications

• Registered Nurse III: Education - Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California. Experience - Three years of full time experience as a Registered Nurse in an acute care facility, mental health facility, or community health agency with references and evaluations to show appropriate skill level.
• Registered Nurse IV: Education - Graduation from an accredited college or university with a bachelor's degree in nursing or health-related field or current and valid national certification in nursing or health-related field. Experience - Six years as a full-time Registered Nurse.
• Registered Nurse V: Option I - Education - Graduation from an accredited college or university with a bachelor's degree in nursing or a health-related field, and a current and valid national certification in nursing or health related field. Experience - Nine years as a full-time Registered Nurse with at least two years in a specialty area. Option II - Education - Graduation from an accredited college or university with a master's degree from an accredited college or university in nursing or health-related field. Experience - Seven years as a full-time Registered Nurse with at least two years in a specialty area.

Skills

• Teaching and/or supervising the current principles, techniques and procedures used in professional nursing.
• Medical terminology and patient care routine appropriate to clinical setting.
• Medical instruments and equipment.
• The uses and effects of medicines and narcotics.
• Community resources available to provide patient care and follow-up.
• Federal, state and local laws and regulations governing professional aspects of nursing.

Benefits

Highly competitive candidates will demonstrate experience in pediatric nursing and care coordination, as well as a strong working knowledge of California Children’s Services, Medi-Cal managed care, and CalAIM Enhanced Care Management programs.

Pay

• Registered Nurse III: ($47.8934 - $71.2295)
• Registered Nurse IV: ($51.2460 - $75.1470)
• Registered Nurse V: ($56.4843 - $79.2800)

Schedule

9/80, With every other Friday off.