Case Manager - Care Management

Legacy Health; Silverton (OR); On-site; USD 74,000 - 112,000; Full time

Job summary

Legacy Silverton Medical Center in Oregon is seeking a Case Manager to advocate for patients and coordinate interdisciplinary care across acute and chronic conditions. The role requires RN licensure in Oregon, a BSN preferred, and at least two years of clinical nursing experience.

You will work with healthcare teams to ensure safe transitions, efficient use of resources, and adherence to best practices and regulatory standards.

Qualifications

• BSN or higher preferred.
• Minimum 2 years clinical nursing experience.
• Experience coordinating community resources and care management.
• Knowledge of care management models across the care continuum.
• Familiarity with CMS guidelines and Interqual criteria.

Responsibilities

• Coordinate interdisciplinary, patient-centered care across the continuum.
• Promote optimal health outcomes per standard care.
• Serve as a resource on care transition, resources, and regulatory requirements.
• Ensure smooth care transitions with planned handoffs.
• Partner with patients to identify issues and barriers to self-care.
• Apply health literacy guidelines to educate patients.
• Use rapid quality improvement cycles to track progress.
• Pace care coordination to balance quality and fiscal concerns.

Skills

Organizational skills

Oral communication

Written communication

Transitional planning

Community resources

Cultural sensitivity

Health literacy

Education

BSN

Job description

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 Silverton Medical Center proudly serves the heart of the Willamette Valley, offering a broad range of services not typically found in a community hospital. From advanced imaging such as CT scans and nuclear medicine to echocardiography and a full-service Family Birth Center, Legacy Silverton combines personalized, community-focused care with access to comprehensive medical services.

Responsibilities

• 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.

Knowledge/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.

Licensure

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

Pay Range

USD $54.37 - USD $81.21 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.