Case Manager - Care Management

Portland, OR, USA|

Job Overview

Employment Type

Full-time

Compensation

Hourly

Range $54.37 - $81.21

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Retirement Plan

Paid Time Off

Professional Development

employee wellness program

Job Description

Legacy Health is a reputable healthcare organization dedicated to providing exceptional care to patients across multiple settings. With a solid commitment to health and equal opportunity, Legacy Health serves diverse populations with compassion and respect for the dignity of every individual. This organization is well-known for its integrated health services and its efforts to foster an inclusive environment, ensuring that employees, patients, and communities alike benefit from their innovative and patient-centered care. Legacy Health offers competitive compensation, professional growth opportunities, and a supportive work culture that encourages teamwork and continuous improvement in health care delivery.

The role of Case Manager at Legacy Health is critical in ensuring that patients with both acute and chronic health conditions receive coordinated, comprehensive care that spans the continuum of health services. As a Case Manager, you will serve as the voice and advocate for patients, guiding them and their families through complex healthcare situations with empathy and expertise. This position demands a professional who not only understands the clinical aspects of disease management but also the psychosocial challenges faced by patients and their caregivers.

Your responsibilities will include coordinating interdisciplinary care teams to deliver patient-centered services, ensuring smooth transitions across multiple health care environments, and fostering optimal health outcomes through adherence to best practices and regulatory guidelines. The Case Manager acts as a resource for healthcare teams, promoting efficient use of resources while focusing on quality improvement and meeting regulatory standards. Effective communication and cultural sensitivity are essential, as you collaborate with patients and families to identify barriers to self-care and develop personalized care plans that prioritize their health goals.

Legacy Health values nurses who bring a breadth of experience and knowledge to the role, especially those with a minimum of two years of clinical nursing experience and familiarity with disease management across various care settings, including inpatient, ambulatory, hospice, and long-term care. The ideal candidate will be adept at navigating complex healthcare systems, skilled in utilizing electronic health records, and experienced in applying case management principles aligned with CMS guidelines and other authoritative frameworks.

This position offers a pay range of USD 54.37 to USD 81.21 per hour, reflecting the expertise and value that skilled Case Managers bring to the organization. Legacy Health embraces diversity and inclusivity and encourages candidates who are passionate about patient advocacy and collaborative care to apply, even if they do not meet every qualification listed. Working as a Case Manager within Legacy Health means contributing to a legacy that prioritizes health and well-being for people and communities alike, where doing the right thing is more than a motto – it is the foundation of daily operations.

Job Requirements

Academic degree in nursing (BSN or higher) preferred
minimum 2 years clinical nursing experience
extensive knowledge of disease management including diagnostics, treatment and prognosis
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, case management concepts
excellent organizational skills
health literate oral and written communication skills
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 adhere to and implement regulations effectively
keyboard skills and the ability to navigate electronic systems
current applicable state RN licensure
BLS for Healthcare Providers from the American Heart Association required in Oregon

Job Qualifications

Academic degree in nursing (BSN or higher) preferred
minimum 2 years clinical nursing experience
extensive knowledge of disease management including diagnostics, treatment and prognosis
relevant experience in coordination of community resources, care management of diverse patient populations, ambulatory care preferred
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, case management concepts
excellent organizational skills
health literate oral and written communication skills
knowledge of transitional planning
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 adhere to and implement regulations effectively
keyboard skills and the ability to navigate electronic systems
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