Case Manager Specialist - Care Management Mount Hood Med Ctr

Legacy Health

Posted 2 years ago

Listing Type: Nursing
Employment Type: Nursing
Shift: Variable
Education Level: MSN
Certificates: BLS
Experience Level: All|Experienced
Compensation: NA

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Job Detail

Job Title:

Case Manager Specialist - Care Management Mount Hood Med Ctr

Work Location:

Mount Hood Medical Center campus - Gresham OR

Department:

Care Management

Shift:

Day

Status:

On Call - Requires 24 shifts/yr; 10% differential/no benefits

Budgeted Hrs/Wk:

0

Hours:

8-4:30

Work Days:

Mon-Fri, occasional weekends

Job Number:

15-1104

Salary Min:

37.28

Salary Max:

54.22

Shift Differentials:

Eves $2.45/hr, Nts $5.75/hr, Wknd $2.00/hr

Bonus/Relo Eligible:

Critical To Fill:

Union:

Non-union

Job Code:

06160

Job Description:

CASE MANAGER SPECIALIST 

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. This is a non-exempt position for unbudgeted employees with unpredictable hours and schedules.

  

Job Qualifications:

Updated August 2016

Education: Academic degree in nursing (BSN or higher) required by December 31, 2020; MSN preferred. The BSN requirement may be met by demonstrating enrollment in an accredited BSN program.

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.

Licensure/Certification: 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. 

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.

PREFERRED EMPLOYEE PROFILE
Follow guidelines set forth in the Preferred Employee Profile. 

Complete Application

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