Case Manager - Care Management
Company: Legacy Health
Location: Gresham
Posted on: February 1, 2025
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Job Description:
Case Manager - Care ManagementUS-OR-GRESHAMJob ID: 24-40353Type:
Part Time - No BenefitsMount Hood Medical Center campusOverviewYou
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 Mount Hood Medical
Center is East County's full-service hospital, always expanding to
meet the community's growing needs and offering an award winning
patient experience delivered with a personal touch. We offer
advanced imaging, a modern emergency department, a welcoming family
birth center, surgical services, intensive care, cancer care,
gastroenterology and more. Responsibilities Facilitates daily
multidisciplinary care coordination meetings to clarify patient
plan of care. Communicates with patients and their families
concerning the progress of patient recovery goals and ongoing care
needs. Organizes and/or participates in patient care
conferences.Coordinates care and expected outcomes between
patients/families and healthcare team including nurses, social
workers, physicians, therapists, and community agencies and
resources.Develops and maintains a collaborative working
relationship with all team members. Follows evidence-based best
practice. Serves as the clinical resource manager for patients with
complex care needs. Provides consultations for patients who do not
follow or have multiple variances from a pre-established clinical
path. Assesses patient care priorities with patient and staff as
part of the health care team and participates in determining
outcomes of interventions.Collaborates with patient, family, and
other health care professionals in the establishment of goals and
implementation of patient plan of care. May provide home visits
when necessary.Facilitates referrals, multidisciplinary review and
planning for specific patients.Maintains currency in case
management practice and principles specific to venue.Ensures
transition plan reflects national guidelines and/or approved
protocols/pathways.Maintains knowledge of professional standards of
practice through participation in continuing education, community
and professional activities, and committee membership.Assists
patient care team to identify and coordinate appropriate level of
care across the health care continuum.Focuses on promoting early
intervention for complex patients and communicating a coordinated
plan of care to prevent unnecessary complications and negative
patient outcomes.Communicates with UM RN(s) and with insurance and
community case managers, when appropriate, to discuss benefits and
obtain authorization for alternative level of care. Assists health
care team to incorporate the educational needs of patients and/or
families concerning alterations in health and the disease process
into the plan of care.Assists with patient and family education as
appropriate and necessary.Collaborates with Legacy leadership to
identify educational needs of staff.Participates in and/or leads
committees and task forces.Participates in identifying needs and
developing programs which facilitate attainment of organizational
goals.Represents applicable clinical areas in the review and
development of hospital and overall system policies, procedures,
protocols, guidelines, and standards.Participates in Continuous
Quality Improvement (CQI) activities.Participates in data
collection, analysis and reporting of defined indicators to
facilitate comprehensive evaluation of program impact. Collaborates
with Legacy management team and staff in developing and utilizing
quality indicators to monitor and evaluate care and
outcomes.Participates as an active member in department meetings
and group problem-solving sessions. Sponsors changes to improve
department operations and supports others' suggestions for
change.In setting professional goals, includes attainment of case
management certification. QualificationsEducation: 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
resourcesCare management of diverse patient populationsAmbulatory
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 aspectsHealthcare
reimbursementRehabilitationHealthcare management and
deliveryPrinciples of practice i.e. CMS guidelines, Interqual
criteriaCase Management conceptsExcellent organizational
skillsHealth literate oral and written communication skills for
effective interaction with all members of the patient's health care
teamKnowledge 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
implicationsAbility 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 Compensation
details: 50.57-75.55 Hourly WagePId059766bf5c5-25660-35795881
Keywords: Legacy Health, Gresham , Case Manager - Care Management, Executive , Gresham, Oregon
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