Position title
RN Case Manager

The Mission of George Mark Children’s House is to provide an important addition to the continuum of care for children with life-limiting illnesses; enhancing the quality of life for the entire family by offering medical, emotional, spiritual, and respite support in a home-like setting that is full of life and activity regardless of ethnicity, gender identity, religion, sexual orientation, national origin, or socioeconomic status.”

Now Hiring!  Join the George Mark family and be part of an environment like no other.

From the moment you enter our doors, you’ll be supported by our exceptional nursing and admin team and empowered to make our house a special home for the children and families we serve every day -- all within an environment that values not only compassionate patient care but care for its caregivers as well.

George Mark Children's House (GMCH) provides life-affirming care for children with illnesses that modern health care cannot yet cure, or for those who have complex medical conditions.  Services include respite care, end of life care, transitional care, and bereavement support and are offered at no charge to our patients and families.

Established in 2004, George Mark is the first freestanding pediatric palliative care house in the United States and serves as a model for other pediatric palliative care centers, having been recognized for its excellence in providing all-encompassing care when a family's need is at its greatest.


Working collaboratively with the Nursing Department and billing department, the Registered Nurse / Case Manager will coordinate patient care services using the framework of the GMCH Mission and the philosophy of pediatric palliative care.

This is a salaried full-time position.  This position may require some travel.


Essential Functions:  Clinical/Technical

  • At the direction of the patient’s primary care physician, the Medical Director and the Director of Patient Care Services; coordinate quality palliative care to patients/families.
  • Work collaboratively with referring community and Hospital institutions, Physicians, Medical Social Workers, Case managers, and GMCH Medical Directors to coordinate intake and screen for the appropriateness of admissions, transfers, and discharges.
  • In coordination with IDT (interdisciplinary team) participate in developing, evaluating, and updating the plan of care for each patient/family.   Enter IDT notes into Allscripts.
  • If requested by the nursing staff, communicate with the managing physician when reactions to treatments and medications and changes in the patient’s physical or emotional condition arise.
  • Calculate medications and fluids with 100% accuracy.
  • Work collaboratively with referring community and hospital institutions, Physicians, Medical Social Workers, and Case Managers to coordinate intake and screen for appropriateness of admissions, transfers, and discharges of patients.
  • Review with primary Caregiver prior to respite admissions:  medications, feedings, treatments, procedures, and required paperwork.
  • When needed: Prepare admission charts and enter the appropriate information required for preadmission in Allscripts.  Update resources and payor sources as needed.
  • Set up with DME companies, in services as needed for incoming patients to ensure proper operation of DME and other equipment.
  • Maintain current clinical knowledge of pediatric palliative care practices through ongoing education and attendance of in-service training sessions.
  • Obtain authorizations for admissions from Private Insurance, Managed Medi-cal, Medi-cal, and Hospice Agencies.  Obtain POS from Regional Centers prior to respite stays.
  •  Monitor patient stays and maintain timely communication with payor sources to justify the level of care for continuing stay review.
  • Coordinate and oversee that the Billing Department receives an Encounter sheet with the appropriate payor source, copies of denials, authorizations, and demographics in a timely manner.  Assist the Billing Department with the resolution of any outstanding billing accounts/issues.  Attend Billing meetings as requested.
  • Schedule Family/Patient interviews.  Oversee the designated LVN and review and ensure the completion of Plan of Treatment and TARS for Medi-cal Waiver billing per IHO requirements.
  • Maintain a Daily Financial Report which details the patient, payer source, and rate.  Each Friday

Essential Functions:  Patient Interaction

  • Actively participate in the provision of medical, psychosocial, and spiritual care for GMCH children-patients and their families when requested.
  • Meet with patients and families for tours and preadmission paperwork as needed.  After admission meet with parents for any insurance-related issues/billing.
  • Attend Medi-cal Waiver interviews when requested by parents.
  • Communicate with patient/family regarding any billing or insurance issues and discharge for discharge planning needs.
  • Refer Patient’s/Families to community resources to meet home care needs.

Essential Functions:  Team Communication

  • Document all Communication in the Medical Record System (Allscripts).
  • Attend scheduled Inter-Disciplinary Team (IDT) meetings and document discussion and any changes to a plan of care in Allscripts. Participate in Clinical meetings.
  • Participate in the development of new GMCH policies and procedures.
  • Maintain communication with patients, family, and hospital staff when a patient is transferred and/or hospitalized.
  • Maintain patient confidence and protect GMCH operations by keeping all patient information confidential.

Other Essential Functions:  

  • Perform tasks in a culturally sensitive manner without regard to any protected category as defined by federal, state, or local law.
  • Utilize GMCH resources in a cost-effective manner.
  • Maintain a clean and organized work area to reduce the likelihood of health and safety hazards.
  • Effectively deal with personal psychosocial and bereavement issues related to job duties.
  • Maintain professional boundaries within the Scope of Practice.
  • Attend in-service training and staff meetings.
  • Adhere to all state regulations regarding professional licenses.
  • It is an essential function of this position to report to work on time for your scheduled hours, ready for work.
  • Understand and adhere to GMCH compliance standards as they appear in the GMCH Personnel Manual, GMCH Policies and Procedures Manuals, and Departmental memos.


  • BSN preferred


  • Current California Registered Nurse license without limitations is required
  • Current BLS/CPR certification


  • Two years of pediatric and/or end-of-life care experience preferred.


  • Ability to communicate accurately and concisely using both written and verbal skills.
  • Ability to work independently to manage a caseload of patients.
  • Ability to access, input, and retrieve information from a computer.
  • Knowledge of office procedures and office machines.
  • Demonstrate the basic skills and core competencies of a Registered Nurse, including managing multiple, competing, and varied tasks, time management, listening skills, problem-solving (clinical and interpersonal), decision making (clinical and interpersonal), delegation of duties and successfully managing workflow.
  • Possess fluency in English.
  • Possess fluency in Spanish or other languages (preferred).
  • Possess a valid California Driver’s License with a good driving record.


Working conditions in the interior of GMCH are clean, well-lit, and free from extremes of temperature and humidity. Ability to sit, climb, reach, stand and bend, have use of both legs and hands, possess the ability to have a broad range of wrist/arm motion. Ability to grasp/hold objects and tools. Must be able to lift up to 50 lbs. alone and up to 75 lbs. with assistance. Hearing is sufficient to understand conversations, both in person and on the telephone. Reasonable accommodations will be made for some physical demands and mental demands for otherwise qualified individuals who require and request such accommodations.


Job Benefits

Employees regularly working a minimum of 24 hours per week are eligible to participate in the benefits program.

  • The cost for the employee\'s health, dental and vision are paid in full by GMCH.
  • Accrual of 4.62 Paid Time Off hours per pay period.
  • Training and mentoring through a one-of-a-kind pediatric palliative care education and training program in partnership with CSU Shiley Haynes Institute for Palliative Care.
  • A wellness culture with team-building activities and special events like Wellness Wednesday, Remembrance Day, and Candy Cane Lane in a unique, home-like setting located on five beautiful acres.
Employment Type
Job Location
2121 George Mark Lane, San Leandro, CA
Base Salary
Date posted
August 15, 2023
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Position: RN Case Manager

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