Pediatric Nurse, Lead

Our Vision: Continuously improve the health of our community. Our Mission: We provide healthcare value and advance wellness through community partnerships.

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. We are currently hiring a Pediatric Nurse, Lead to join our team! This position is remote eligible; Candidates must reside in California.

Responsible for achieving overall clinical performance goals through day-to-day direction of the designated clinical care team, coordinating operational processes, monitoring performance to achieve consistent process standards and metrics through quality assessments, training, and improvement tactics, and in compliance with regulatory and NCAA accreditation standards. In a partnership with the Inpatient Supervisor, leads the Pediatric team and provides day to day oversight of team functions to meet all regulatory guidelines and company initiatives for CCS and pediatric cases. Works in collaboration with the supervisor to identify and implement consistent work processes to achieve compliance standards and continuous operational readiness in accordance with NCQA accreditation and State regulations. Monitors daily workflow including incoming referrals, case load and acuity management to meet production standards and to achieve compliance standards according to regulatory guidelines and company initiatives for CCS and Pediatric cases. Independently oversees and advises the correct application of methodology and outcomes monitoring and reporting for members eligible for the CCS program. Provides subject matter expertise to staff. Utilizes clinical knowledge to apply evidence- based practice guidelines and criteria. Conducts and records both focused and standard QI audits in collaboration with Supervisor. Provides feedback for team members and the management team. Tracks and trends performance, identifies root causes, and reports and recommends improvement opportunities to management, based on audit results. Coaches, trains, and conducts follow up for team performance improvement. Collaboration with the Superior to identify, design and deliver training modules to promote improved performance and/or implement new regulatory guidelines pertinent to pediatric programs. Carries caseload, as assigned by the Supervisor; and provides coverage as needed. Acts as subject matter expert and participated in the training of new clinical personnel. Maintains the Unit’s Training Manual and Desktop Procedures (Job Aids) Regular and consistent attendance.