Case Manager Emergency Department- Case Management

Legacy Health • Gresham, OR

1d • $57 - $85

About The Position

The Case Manager in the Emergency Department coordinates and facilitates comprehensive, patient-centered, quality health care for patients with acute and chronic health conditions across the continuum of care. The role supports optimal outcomes within accepted standards of care and serves as a resource to healthcare teams on care transitions, resource use, best practices, team-based care, quality improvement, and regulatory requirements.

The Case Manager works with patients and families to identify care needs and barriers to self-care, establish priorities, and engage in appropriate interventions. The role provides education on self-management using culturally agile, health-literacy-informed communication; plans smooth transitions and handoffs among care settings; and monitors intervention outcomes through rapid quality-improvement cycles. The Case Manager also coordinates care across the continuum in an appropriate and fiscally sound manner.

Requirements

• Minimum of 2 years of clinical nursing experience.
• Extensive knowledge of disease management, including diagnostics, treatment, prognosis, community resources, and healthcare reimbursement.
• Knowledge of the six core components of case management: psychosocial aspects, healthcare reimbursement, rehabilitation, healthcare management and delivery, principles of practice (including CMS guidelines and InterQual criteria), and case-management concepts.
• Excellent organizational skills.
• Health-literate oral and written communication skills for effective interaction with all members of the patient's healthcare team.
• Knowledge of transitional planning to and from all care settings.
• Ability to determine and access appropriate community resources.
• Ability to engage patients and families in discussions of healthcare goals and decisions while considering cultural and health literacy implications.
• Ability to adhere to and implement regulations effectively and serve as a resource to team members on regulatory issues.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Current applicable state RN licensure.
• BLS for Healthcare Providers from the American Heart Association is required for employees performing this job in Oregon.

Nice To Haves

• Academic degree in nursing (BSN or higher).
• Relevant experience in coordination of community resources, care management of diverse patient populations, or ambulatory care.
• Knowledge of care levels across the continuum, including inpatient, emergency care, rehabilitation, home health, hospice, long-term acute care, SNF, ICF, and ALF, and an overall understanding of utilization and resource management.
• Working knowledge of care-management models across the continuum.
• Case-management certification.

Responsibilities

• Coordinate and facilitate interdisciplinary, comprehensive, patient-centered, quality health care throughout the continuum for patients with acute and chronic health conditions.
• Foster optimal health care outcomes within accepted standards of care.
• Serve as an expert resource to the healthcare team regarding the continuum of care, efficient resource use, best-practice protocols, team-based care, quality indicators and improvement, and regulatory requirements.
• Ensure smooth transitions of care between healthcare environments through planned handoffs.
• Partner with patients and families to identify healthcare issues and barriers to self-care, set priorities, and engage in appropriate interventions.
• Provide education on self-management strategies using cultural agility and health literacy guidelines.
• Use rapid quality-improvement cycles to monitor, evaluate, measure, and report intervention progress and outcomes.
• Pace the case to ensure appropriate and fiscally sound care coordination across the continuum.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed