Field Nurse (Portland, OR / Field-Based)

FreedomCare•Portland, OR

4d•Onsite

About The Position

FreedomCare is seeking a Case Manager, RN for its Oregon team. This field-based position requires regular travel throughout an assigned Portland, Oregon territory, including the greater Portland area, to conduct in-home visits and support member care. The role includes initial in-home clinical assessments, orientations for new patients and caregivers, and ongoing care management and support. The Case Manager, RN combines clinical assessment, care coordination, patient and Personal Care Attendant (PCA) education, and quality assurance to support safe, effective, person-centered care. The RN collaborates with patients, PCAs, and interdisciplinary care teams to assess needs, develop individualized plans of care, and coordinate the initiation and delivery of services. Through scheduled 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 RN communicates clinical concerns, changes in condition, and potential barriers to care to appropriate team members to support timely intervention and coordinated care.

Requirements

Diploma from an accredited nursing program; new graduates are welcome.
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 the assigned geographic area.
Valid driver’s license and car insurance.
Proficiency with common software and web-based applications, such as case management systems and MS Office, and ability to teach others.
Passion for providing high-level customer service, including empathy, active listening, and patience.

Nice To Haves

Home care case management experience.
Care coordination experience.
Bilingual.

Responsibilities

Conduct initial in-person clinical assessments and coordinate service activation, ensuring required forms and standard procedures are followed.
Develop, implement, and manage patients’ activity plans; revise and document changes as needed.
Complete client documentation, including written records, reports, and notes, accurately, timely, completely, concisely, and legibly in accordance with agency policies and procedures following visits or contacts.
Coordinate client care through communication and written documentation with physicians, other disciplines involved in the client’s care, and community resources.
Provide ongoing coaching to encourage effective use of established best practices, support PCA education, and connect families with appropriate resources.
Review caregiver notes daily and appropriately address changes in the consumer’s condition or environment.
Ensure ongoing compliance with regulatory standards and company policies and procedures.
Perform other job-related duties as required or directed by the supervisor.