Case Manager Specialist - Care Management

Overview

You are the voice, the coordinator and the empathetic advocate of patients facing difficult situations. Your compassion for patients and families with acute and chronic health conditions knows no limits. You are committed to working with healthcare teams to ensure every patient receives the care, comfort and dignity they deserve. If this is how you define your role as a Case Manager, we invite you to consider this opportunity.

 

Legacy Meridian Park Medical Center is the South Metro area’s full-service medical center, with the friendly feel of a community hospital and the skill and services of a much larger medical center. Among our specialties: stroke, chest pain, minimally invasive and robotic surgery, cancer care and orthopedic and total joint surgery. Plus a birth center and breast health center.

 

 

Responsibilities

The Case Manager:

Coordinates and facilitates interdisciplinary provision of comprehensive, patient-centered, quality health care throughout the continuum for patients with acute and chronic health conditions.

Fosters achievement of optimal health care outcomes within accepted standards of care.

Serves as an expert resource to the healthcare team regarding the continuum of care, efficient use of resources, Best Practice protocols, team-based care, quality indicators and improvements, and regulatory requirements.

Ensures a smooth transition of care between multiple health care environments with planned handoffs.

Partners with patients and families in identifying health care issues and barriers to self-care in order to set priorities and engage in appropriate interventions.

Demonstrates cultural agility and employs health literacy guidelines to provide education regarding self-management strategies.

Utilizes rapid quality improvement cycles to continuously monitor, evaluate, measure, and report progress of interventions and outcomes.

Paces the case to assure appropriate and fiscally sound care coordination across the continuum.

Qualifications

Education:

Academic degree in nursing (BSN or higher) preferred.

 

Experience:

This position requires extensive knowledge of disease management to include diagnostics, treatment and prognosis, community resources and healthcare reimbursement. Minimum 2 years clinical nursing experience required. Relevant experience in one or more of the following healthcare areas preferred:

   Coordination of community resources

   Care management of diverse patient populations

   Ambulatory Care

Knowledge of levels of care throughout the health care continuum to include; inpatient,   emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF with an overall understanding of utilization management and resource management.

   Working knowledge of Care Management models across the continuum.

 

Skills:

Knowledge of six core components of case management:

   Psychosocial aspects

   Healthcare reimbursement

   Rehabilitation

   Healthcare management and delivery

   Principles of practice i.e. CMS guidelines, Interqual criteria

   Case Management concepts

Excellent organizational skills

Health literate oral and written communication skills for effective interaction with all members of the patient’s health care team

Knowledge of transitional planning to and from all venues

Ability to determine and access appropriate community resources

Ability to engage patient/family in discussion of health care goals and decisions with attention to cultural and health literacy implications

Ability to adhere to and implement regulations in an effective manner. Must serve as a resource to all team members regarding regulatory issues.

Keyboard skills and ability to navigate electronic systems applicable to job functions.

 

LEGACY’S VALUES IN ACTION:

Follows guidelines set forth in Legacy’s Values in Action

Equal Opportunity Employer/Vet/Disabled

Licensure

Current applicable state RN licensure. Case management certification preferred. AHA BLS for Healthcare Providers required for all employees who perform this job in the state of Oregon.

Pay Range

USD $50.57 - USD $75.55 /Hr.

Working Conditions

Risk of exposure to blood and body fluids . Must be able to lift push pull 0 20 pounds. Risk of exposure to hazardous airborne pathogens particles Annual N95 HMR Full Face fit testing and E required .

Salary : $51 - $76