Case Manager - Care Management

Gresham, OR, USA|

Job Overview

Employment Type

Full-time

Compensation

Hourly

Range $54.37 - $81.21

Benefits

Health Insurance

Dental Insurance

Paid Time Off

Retirement Plan

employee wellness program

Professional Development

Paid holidays

Job Description

Legacy Mount Hood Medical Center stands as East County's comprehensive full-service hospital, dedicated to meeting the evolving healthcare demands of the local community through continuous expansion and modernization. Recognized for its award-winning patient experience characterized by a welcoming and personal approach, this medical center is equipped with advanced imaging technologies, a modern emergency department ready to handle urgent health concerns, a family birth center that offers compassionate maternity care, and specialized services including surgical procedures, intensive care, cancer treatment, and gastroenterology. This facility prioritizes patient-centered care and strives to incorporate the latest medical advancements to ensure high quality and effective treatment outcomes. As part of Legacy Health, the medical center embodies a mission centered around health promotion for its people, patients, communities, and the world, with a strong commitment to equity, dignity, and the right thing in healthcare practices. The role of the Case Manager at Legacy Mount Hood Medical Center is crucial in navigating patients through complex medical situations with empathy and expert coordination. This position serves as the primary advocate for patients facing acute and chronic health conditions, ensuring that each individual receives comprehensive, quality care throughout their healthcare journey. The Case Manager acts as the voice and coordinator for patients and families, working closely with multidisciplinary healthcare teams to facilitate smooth transitions between different care environments. Key responsibilities include coordinating and facilitating interdisciplinary care plans, fostering optimal healthcare outcomes within standards of care, and serving as a clinical resource by advising on best practices, quality indicators, regulatory requirements, and efficient resource management. This position requires an ability to identify barriers to self-care and develop patient and family-centered strategies that respect cultural diversity and incorporate health literacy principles. The Case Manager also utilizes continuous quality improvement processes to measure and report on intervention effectiveness, pacing care to maintain fiscal responsibility while prioritizing patient comfort and dignity. This role is ideal for compassionate healthcare professionals who possess both clinical expertise and strong organizational skills and who are dedicated to improving patient experiences and outcomes in a dynamic hospital setting. Employment for this role is full-time with a competitive pay range of USD $54.37 to USD $81.21 per hour, reflecting the significant responsibilities and expertise required. Legacy Health encourages applicants who share its commitment to inclusive and equitable healthcare environments to apply, even if they do not meet every qualification listed, emphasizing the value placed on diversity and personal growth within their team.

Job Requirements

Academic degree in nursing (BSN or higher) preferred
Minimum 2 years clinical nursing experience required
Knowledge of disease management including diagnostics, treatment and prognosis
Understanding of community resources and healthcare reimbursement
Knowledge of levels of care including inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF
Working knowledge of care management models
Knowledge of six core components of case management
Excellent organizational skills
Effective health literate communication skills
Knowledge of transitional planning
Ability to access community resources
Ability to engage patients and families in healthcare discussions with cultural competency
Ability to adhere to regulations and serve as a resource
Keyboard skills
Current RN licensure
BLS certification
Case management certification preferred

Job Qualifications

Academic degree in nursing (BSN or higher) preferred
Minimum 2 years clinical nursing experience required
Relevant experience in coordination of community resources
Relevant experience in care management of diverse patient populations
Relevant experience in ambulatory care
Knowledge of levels of care throughout the health care continuum including inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF
Working knowledge of care management models across the continuum
Knowledge of six core components of case management including psychosocial aspects, healthcare reimbursement, rehabilitation, healthcare management and delivery, principles of practice such as CMS guidelines and Interqual criteria, and case management concepts
Excellent organizational skills
Health literate oral and written communication skills
Knowledge of transitional planning to and from all venues
Ability to determine and access appropriate community resources
Ability to engage patient and family in health care goals and decisions with cultural and health literacy considerations
Ability to implement regulations effectively and serve as a regulatory resource for team members
Keyboard skills and ability to navigate electronic systems applicable to job functions
Current applicable state RN licensure
Case management certification preferred
BLS for Healthcare Providers from the American Heart Association required in Oregon

Job Duties

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