Oregon Health & Science University RN, Case Manager, Part-Time, Evening in Portland, Oregon
The Care Management department provides several major services to assure a safe and efficient passage of patients through their acute hospitalization and transition to the next level of care. Our goal is to balance individual clinical and psychosocial patient/family needs with the efficient and cost effective utilization of resources while promoting quality outcomes.
RN Case Managers provide a coordinated approach with in the interdisciplinary team in determining appropriateness of admission, continued stay in the hospital and planning for transition to various levels of care in the hospital, community and home. Intensity of service is dependent on individual patient needs as assessed by the case manager. Nurse Case Managers assure robust utilization review, resource management and discharge planning.
RN Case Managers assess patients on admission for available family support, insurance resources, and potential discharge planning needs. They use established criteria to determine appropriateness of admission and continuing stay and work with insurance companies to assure ongoing authorization for continued stay and post hospital needs. Daily care coordination rounds occur on each nursing unit Monday through Friday at which Case Managers meet various disciplines to discuss the plan for the day and the plan for the patients stay. They will also frequently lead and/or be involved in multidisciplinary care conferences with family involving complicated care situations. They contribute to meeting OHSU’s strategic plan of safe LOS reduction and reduction in readmission rates.
Case Management is represented on every unit and the Emergency department.
The Care Management central resource office is located in 9A4.
Each Case Manager has an office with a work station near the unit they are assigned to.
Communication factors: Case Managers are available by pagers 7 days a week during the day. They are also available by telephone/voicemail and e-mail.
Evening Shift Case Manager:
Provide nurse case management support to patients, families and staff in the evening shift 7 days per week
Assure hand over of information to day shift CM
Receives referrals from day shift CM’s
Trouble shoots any SNF placement issues that occur after hours
Root Cause Analysis for any failed SNF discharge
Admit/ED Case Manager functions as needed
RN Case Managers are responsible to be aware of and comply with regulatory requirements of DNV, Medicaid, Medicare and Oregon Nurse Practice Act
Reviews ED Observation unit patients for meeting observation criteria and completes UR using established criteria.
Effectively communicates reviews with Patient Placement Office
Assesses patients potential to DC from ED with community care coordination (PCP location, follow up appointments, medication assistance, SNF, long term care, DME, Memory or Foster care) and assists with discharge
Delivers Condition Code 44 notices, Observation notices, and Medicare Important Messages in the absence of sufficient clerical support
Leads the effort to assure compliance with CMS and other insurance regulations related to Utilization Review
Educates providers regarding documentation requirements that support medical necessity determinations
Current, unencumbered Oregon RN license
Bachelor’s degree in Nursing for external hires; BSN preferred for internal candidates
Proficiency within the interdisciplinary team in leading daily discharge rounds, negotiating conflicts, coordinating patient goals between disciplines, communicating about and educating physicians on patient status decisions.
Ability to describe what utilization review criteria is and how it is utilized.
Proficiency with managing difficult and sensitive family and provider care conferences including: adjustment to new levels of function, end of life discussions, imbalance of available resources (social, spiritual, medical, financial).
Progressive leadership positions with in nursing unit – examples include: Charge nurse, UBNPC Chair/Member, Shared Governance councils.
Must be able to perform the essential functions of the position with or without accommodation
Complies with the safe patient mobilization policy when lifting or positioning dependent patients, including using mechanical lifts and coordinating the assistance of other personnel.
Must be able to use all senses: seeing, hearing, touching, smelling, and speaking. Reasonable accommodations include corrective lenses and/or hearing aids
The work environment carries risk of exposure to human tissue/fluids and radiation.
Must be able to deal with competing needs and priorities of internal and external customers, including making correct judgments regarding ensuring safe conditions for patients, families, and other personnel.
Use of relevant hospital approved clinical equipment. Significant use of computers, copiers, multi-line phones, and fax.
OHSU provides reasonable accommodations for applicants with disabilities, by request to the Affirmative Action and Equal Opportunity (AAEO) department at firstname.lastname@example.org
Case Management Certification (ACMA, RN-BC, CMSA)
Hospital based case management experience
Usual Orientation Time:
Experienced hospital based Nurse Case Manager 2-4 weeks
Experience in acute care but not Case Management 4-8 weeks
Resource 2-4 weeks
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or email@example.com.
Recruitment ID: 2021-8020
External Company URL: dturner
Street: Marquam Hill
Job Type: ONA union represented
Posting Pay: Commensurate with experience
Posting FTE: 0.70
Posting Schedule: Evenings, 8 hour shifts includes every other weekend
Posting Hours: Evenings, 3-11:30pm.
HR Mission: Healthcare
Drug Testable: Yes