Case Manager, RN (Portland, OR / Field-Based)

FreedomCare•Portland, OR

17d•Hybrid

About The Position

FreedomCare is a healthcare company dedicated to revolutionizing the home care industry. Since 2016, we have supported patients by empowering them to choose their own caregivers for in-home care across the U.S. Our mission is driven by core values: Here For You (service, empathy, availability), Own It (drive, ownership), Do the Right Thing (high integrity), and Be Positive (can-do attitude). We are seeking a Case Manager, RN to join our Oregon team. New graduates are welcome. The Case Manager, RN is responsible for conducting initial in-home assessments, orienting new patients and caregivers, and providing ongoing care management and support. This role involves clinical assessment, care coordination, patient and Personal Care Attendant (PCA) education, and quality assurance to ensure safe, effective, and person-centered care. The Case Manager, RN collaborates with patients, PCAs, and interdisciplinary care teams to assess needs, develop individualized care plans, and facilitate the seamless initiation and delivery of services. Through regular home visits, the RN evaluates patient and caregiver well-being, monitors care quality and effectiveness, and identifies opportunities to improve health outcomes, safety, and regulatory compliance. The Case Manager, RN proactively communicates clinical concerns, changes in condition, and potential barriers to care with the appropriate team members for timely intervention, effective care coordination, and optimal patient outcomes.

Requirements

Diploma from an accredited nursing program.
Valid and Active Registered Nursing License issued by the Oregon Board of Nursing.
Ability to articulate cases through effective summaries.
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
Proficient in common software and web-based applications (e.g. Case Management Systems, MS Office) with the ability to teach others.
A passion for providing a high level of customer service, including the ability to show empathy, active listening, and patience.

Nice To Haves

New Graduates Welcome!
Home care case management
Care coordination experience
Bilingual

Responsibilities

Conducts initial in-person clinical assessments and coordinates service activation, ensuring that all required forms and standard procedures are followed.
Develops, implements, and manages patient's activity plan(s), making revisions and documenting changes as needed.
Completes all client documentation, including written records, reports, and notes, in accordance with agency policy and procedure following client visits or contacts in an accurate, timely, complete, concise, and legible manner.
Actively coordinates the care of the client through communication and written documentation to the physician, and other disciplines involved in the client’s care and community resources.
Provide ongoing coaching to drive effective utilization of established best practices, encourage PCA education, and connect families to appropriate resources.
Reviews the caregiver notes daily and appropriately addresses changes in the consumer’s condition or environment.
Ensure continuous compliance with all regulatory standards as well as company policies and procedures.
Performs other job-related duties as may be required or directed by the supervisor.