Case Manager RN

Good Shepherd Health Care•Hermiston, OR

14h•Onsite

About The Position

The Case Manager RN assesses, develops, implements, and monitors comprehensive plans of care through an interdisciplinary team process, in collaboration with patients and families across internal and external settings. The role includes assessing patients’ goals and biophysical, psychosocial, environmental, functional, and financial status; procuring services; and advocating for patients and families in obtaining scarce resources. The case manager directs families in arranging services that require patient or family participation and serves as a liaison to post-hospital care providers and community health resources. The position maintains ongoing communication with patients, families, medical and hospital staff, caregivers, and post-hospital resources. It facilitates or provides patient and family education before admission, during the hospital stay, and after discharge as indicated. The case manager also fosters positive working relationships with patients, families, healthcare staff, post-hospital providers, and community agencies. The position reports to the Case Management Manager and is a 40-hour-per-week role with a flexible schedule.

Requirements

Graduate of an accredited school of medicine, social work, nursing, or a related medical occupation.
Active Oregon RN License.
Previous clinical experience in an acute care or home health setting assessing skilled care, equipment, and health maintenance resource needs.
Ability to work with a culturally diverse population.
Ability to communicate effectively with people from varied socioeconomic backgrounds while considering cultural and spiritual values.
Ability to relate to children, adolescents, adults, and geriatric clients.
Ability to work independently, complete assignments as scheduled, or communicate barriers to timely completion.
Ability to handle confidential patient information appropriately.
Physical and sensory abilities required for the role include auditory and visual acuity, clear communication, tactile perception, motor coordination, and the ability to perform fine motor tasks.
Ability to walk and stand typically continuously throughout a shift; occasionally stoop, kneel, crouch, or crawl; and sit for long periods.
Ability to lift up to 50 pounds independently; frequently push, pull, carry, or reposition objects or patients weighing up to 25 pounds; and occasionally lift or transfer individuals weighing over 100 pounds using appropriate techniques, mechanical aids, or team assistance.

Nice To Haves

Previous experience coordinating community resources for post-acute hospitalization care.
BSN or MSN.
Case Management Certification.
Previous discharge planning and/or case management experience.
Bilingual ability and/or English-Spanish speaking ability.

Responsibilities

Assess patients’ healthcare needs and develop comprehensive care plans.
Facilitate communication among patients, families, and healthcare providers.
Coordinate transitions between care settings, including hospital, home, rehabilitation, and long-term care.
Ensure continuity of care throughout the treatment process.
Evaluate medical necessity for treatments, procedures, and hospital stays.
Collaborate with insurance companies to obtain authorizations.
Monitor length of stay and identify potential discharge barriers.
Promote appropriate use of healthcare resources.
Advocate for patients’ needs and preferences with the healthcare team.
Educate patients and families about diagnoses, treatments, and self-care.
Connect patients and clients with community resources and support services, including specialized services such as housing, healthcare, and legal aid.
Address financial, social, and logistical barriers to care.
Review and update care plans based on client progress.
Advocate for clients with service providers and systems, represent client interests, and help ensure clients receive entitled benefits and services.
Maintain accurate case management records and document assessments, interventions, and outcomes.
Track quality metrics and patient outcomes and prepare reports for healthcare teams and administration.
Collaborate with physicians, therapists, social workers, and other healthcare team members; participate in interdisciplinary care conferences and consult specialists regarding complex patient needs.
Coordinate care plan implementation across disciplines.
Support the hospital’s mission, vision, values, policies, and procedures.
Participate in required education for applicable DNV programs.
Perform other related duties as assigned.