RN - Care Manager
Job Number: 244487
Job Category: Case Management
Providence is calling a Registered Nurse Care Manager (1.0 FTE, Days) to Providence Portland Medical Center in Portland, OR.
Take a peek at what working for Providence can offer to you:
- Outstanding benefits that start the same day you do
- Competitive salary based on experience
- Generous paid time off; work/life balance
- Education reimbursement opportunities
- Free Annual Tri-Met pass / Free parking
- Vacation destination and retail discounts
We are seeking an RN Care Manager who will be responsible for facilitating the patient's progress through the hospitalization from pre-admission through discharge and transition to the next care setting. The Care Manager works with patients/families, physicians, nurses, social workers and other health team members to enable each patient to progress towards care goals and be prepared for timely discharge or transfer. They apply clinical expertise and knowledge of utilization management principles to care facilitation and discharge planning. The Care Manager fully partners with and promotes focused programs such as Utilization Management and Clinical Documentation Specialists.
In this position you will have the following responsibilities:
- Conducts clinical assessment of patient within 8 hours of admission in order to identify clinical resources required to achieve optimal patient outcomes in a timely/efficient, quality and cost effective manner and identify potential barriers to safe discharge/transition.
- Identifies high-risk patients and refers to Social Worker for psychosocial assessment and/or Discharge Planning Specialist for proactive discharge planning.
- With UM Coordinator, assigns initial expected length of stay and maintains system for monitoring, reviewing and updating length of stay in a timely manner.
- Discusses estimated length of stay, treatment and discharge plan with the physician, nurses, and other members of the care team as indicated. Initiates discussion with physician(s) to: provide updates; educate on criteria and appropriate level of care; determine and coordinate post-acute needs; initiate referrals and recommendations of consults; documentation requirements and other information to maintain a collaborative relationship with physicians in coordinating patient care to facilitate timely discharge.
- Consults and collaborates with staff nurse(s), charge nurse/nurse manager regarding care plan.
- Manages each patient's (and family) transitions and expectations throughout their stay.
- Coordinate using established criteria, collaborated with Utilization Management to review appropriateness of patient's admission, need for continued stay, information needed for discharge.
- Conducts (daily) interdisciplinary patient rounds and facilitates care conferences as required. Ensures that the interdisciplinary care plan and the discharge plan are consistent with the patient's clinical course, continuing care needs and covered services.
- Develops Discharge Plan
- Assesses, identifies and reviews critical elements of a patient's hospitalization and significant other/family situation, to facilitate achievement of discharge outcomes, post hospitalization recovery, health maintenance and promotion.
- Refers complex discharge planning issues to other members of the care team as directed by referral criteria.
- Educates patients/families regarding available community resources, coverage/non-coverage issues.
- Collect data on variances from quality screening criteria and assures compliance with core measures; reports quality concerns to Quality Management; continually ensures and enhances quality outcomes.
- Utilizes current PH&S policies and procedures to document care management goals, interventions, progress and outcomes.
- Effectively manages patient caseload and responsibilities of role, prioritizing tasks and follow-up activities independently. Establishes a system for coordinating/managing the caseload throughout the episode of acute care, utilizing information (diagnosis, M.D., financial classification, etc.) in order to assist in establishing daily priorities.
- Maintains, updates and actively improves care management skills, including case-finding high risk individuals, care coordination, transition planning and implementation, documentation and evaluation of effectiveness, chronic disease interventions and issues, teamwork, physician communication, process improvement, knowledge of community resources.
Required qualification for this position include:
- Bachelor's degree in nursing
- 3 years acute care hospital or community based experience.
- Strong clinical background with recent relevant experience.
- Current Oregon RN license.
Preferred qualification for this position include:
- Master's degree in Nursing
- 2 years acute care hospital supervisory experience
- Utilization review or discharge planning experience
- Certified Case Manager(CCM), Accredited Case Manager(ACM) or American Board of Quality Assurance and Utilization Review Physician(ABQAURP) certification.
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits — see our website for details —http://www.providenceiscalling.jobs/rewards-benefits
Our Mission As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
About Us Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago.Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression,sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.