What are the responsibilities and job description for the RN, Care Manager (Outpatient), Clackamas Primary Care, Full-time position at Adventist Health?
In a bustling cosmopolitan area surrounded by nature, Adventist Health Portland has been one of the area's leading healthcare providers since the 1800s. In partnership with OHSU, we are comprised of a 302-bed hospital, 11 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout East Portland and the surrounding areas. There are many outdoor adventures readily available, including carving the snow at North America's only year-round ski resort, hiking along the Columbia River Gorge or taking a day trip to the unmatched beauty of the Oregon coast.
Job Summary:
Completes all referrals and pre-authorizations for outpatient services ordered by the physician. Works as a liaison between physicians, insurance carriers, patients, billing office, and registration staff.
Job Requirements:
Education and Work Experience:
- Bachelor's Degree in Nursing (BSN): Preferred
- Experience in a care management role: Preferred
Licenses/Certifications:
- Registered Nurse (RN) licensure in the state of practice: Required
- Case management certification: Preferred
Facility Specific License/Certifications:
- Basic Life Support (BLS) or HeartCode BLS (HBLS) or Healthstream Basic Life Support (HS-BLS): Required
Essential Functions:
- Performs initial patient assessment to include physical, psychosocial, safety and environmental assessment. Includes participation and input from patient and family, making appropriate referrals after getting physician orders.
- Coordinates patient care with other disciplines; integrating input from disciplines. Ensures orders and changes in care are documented on physician orders and submitted for timely signatures. Performs ongoing nursing assessments and changing plans of care as needed. Initiates discharge planning at start of care; notifying patient of pending discharge.
- Monitors staff efficiency and productivity. Monitors cases for appropriate case assignments.
- Orients new employees by providing outpatient specific orientation for all new field staff. Ensures that staffing is adequate to support the orientation process. Meets regularly (at least monthly) with employees during the first three months of employment to facilitate transition to a fully productive status.
- Completes and legibly documents all pertinent information in accordance with established policies and procedures.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
