Care Manager I-RN

Provides a variety of services to appropriately help progress patients through the continuum of care in the acute care setting. Key services include screening for post-acute needs, transition planning, care coordination, education, community care referrals, care planning in accordance with regulatory requirements, collaboration with the continuum care team, ongoing monitoring of plan effectiveness and reassessment of the need for Case Management (CM) services. Proactively develops and implements transition plans in coordination with the patient / family and interdisciplinary team for patients who require care in an in-home setting or those who require in home services post hospitalization. Supports the interdisciplinary team as needed to develop transition plan for patients who do not require care in a non-home setting or in-home services post hospitalization to assure appropriate progression and resource utilization. Works with patients / families / caregivers and the interdisciplinary team to enable patients to progress towards care goals and be prepared for timely transition out of the hospital to the appropriate level of care in the community. Applies clinical expertise and knowledge of nursing, Case Management, community resources and Utilization Management to establish transition plan.

• DEPARTMENT DESCRIPTION

The social services teams provide direct services to clients, impart information and make referrals, screen and assess clients, and intervene in crisis situations most often in their area of practice. We are an integral part of the multidisciplinary team, working closely with doctors, nurses and other medical professionals.

• EXPERIENCE / EDUCATION / QUALIFICATIONS

Current unencumbered Oregon RN licensure required. BSN preferred.

• Three (3) years RN experience required.
• Acute care utilization review, discharge planning or case management experience preferred.
• Utilization Review or other Inpatient Case Management certification preferred.
• Experience or training in insurance benefits or covered services including Medicare and Medicaid preferred.
• KNOWLEDGE / SKILLS / ABILITIES

Adaptability / Flexibility & Time Management : Ability to respond quickly and appropriately to urgent medical situations that may arise with high risk or diverse patient populations. Ability to adjust actions in relation to others and adapt treatment to offer best possible care to patients. Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.

• Customer Service & Team Building : Ability to work, function and communicate on a multi-disciplinary team. Possess the knowledge and skills to develop constructive and cooperative working relationships with others and maintain them over time. Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services and evaluation of customer satisfaction.
• Social Perceptiveness & Advocacy : Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age, cognitive, or developmental related differences in caring for and communicating with patients and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing abilities, standards, values, lifestyles, and ages. Ability to demonstrate respect and advocacy for an individual’s right to self-determination.
• Communication & Community Relations : Ability to communicate to people internal and external to the organization and to represent the organization to customers, the public, government, and other external sources. Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand complex information / situations. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
• Problem Solving & Conflict Resolution : Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions. Ability to proactively resolve conflicts in a positive and constructive manner. Possess the knowledge and skills to handle complaints, settle disputes, and negotiate with others to reach mutually beneficial decisions.
• Confidentiality & Compliance : Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information. Ability to comply with laws and maintain confidentiality of patient information. Ability to evaluate information to determine compliance with laws, regulations, or standards. Use knowledge and judgment skills to determine whether planning efforts comply.
• PHYSICAL DEMANDS

Rarely

1 - 10% of the time)

Occasionally

11 - 33% of the time)

Frequently

34 - 66% of the time)

Continually

67 – 100% of the time)

LIFT (Floor to Waist : 0"-36") 40 - 60 Lbs

CLIMB - STAIRS

SQUAT Static (hold >

30 sec)

KNEEL (on knees)

CARRY 1-handed, 0 - 20 pounds

LIFT (Waist to Eye : up to 54") 0 - 20 Lbs

LIFT (Knee to chest : 24"-54") 0 - 20 Lbs

LIFT (Overhead : 54" and above) 0 - 20 Lbs

CARRY 2-handed, 20 - 40 pounds

SQUAT Repetitive

REACH - Upward

STAND

WALK - LEVEL SURFACE

LIFT (Floor to Waist : 0"-36") 0-20 Lbs

BEND FORWARD at waist

ROTATE TRUNK Sitting

ROTATE TRUNK Standing

MANUAL DEXTERITY Hands / wrists

REACH - Forward

FINGER DEXTERITY

PINCH Fingers

GRASP Hand / Fist

PULL (0-20 pounds force)

PUSH (0-20 pounds force)

None specified

PI261201136