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

Life insurance

Disability insurance

Employee wellness programs

Job Description

Legacy Health is a renowned healthcare organization committed to providing exceptional care and fostering a supportive environment for both patients and employees. Rooted deeply in the values of compassion, integrity, and excellence, Legacy Health serves diverse communities with acute and chronic health conditions. With a strong emphasis on patient-centered care, this established organization integrates advanced medical practices, innovative technologies, and a highly skilled team to ensure outstanding health outcomes. Legacy Health recognizes the importance of creating an inclusive workplace culture where all employees can thrive and contribute meaningfully to the organization’s mission.

The Case Manager role at Legacy Health is designed for a dedicated healthcare professional who serves as the advocate, coordinator, and empathetic voice for patients navigating complex health challenges. The Case Manager plays a pivotal role in orchestrating comprehensive, interdisciplinary care that respects the dignity and unique needs of every patient. This full-time position offers competitive compensation ranging from USD $54.37 to USD $81.21 per hour, reflecting the importance and complexity of the role. The Case Manager works closely with multidisciplinary teams to optimize the health outcomes of patients facing acute or chronic conditions, ensuring seamless transitions across various care settings.

In this integral role, the Case Manager coordinates and facilitates patient-centered health care delivery throughout the continuum—from inpatient care to rehab, home health, hospice, and beyond. The position requires extensive knowledge of disease management, care coordination, community resources, healthcare reimbursement, and regulatory compliance. The Case Manager serves as an expert resource for healthcare teams, guiding best practices, quality indicators, and improvement initiatives. Through compassionate engagement with patients and their families, the role prioritizes identifying barriers to self-care and supports the development of tailored interventions to empower patients in managing their health effectively.

Legacy Health’s Case Manager must exhibit exceptional organizational abilities, cultural agility, and health literacy competency to deliver education and support that aligns with diverse patient needs. The role demands a proactive approach to quality improvement, continuous monitoring, and effective communication across all healthcare stakeholders. Emphasizing patient advocacy, the Case Manager ensures care coordination that is both clinically appropriate and fiscally responsible, maintaining the balance between quality and resource management.

Beyond clinical expertise, the role requires adherence to state RN licensure requirements and a commitment to professional growth through case management certification and other relevant credentials. Legacy Health fosters a supportive and inclusive workplace, encouraging applicants who are passionate about the mission to apply even if they do not meet every qualification. The organization is proud of its legacy of health, equality, and ethical practices, offering a comprehensive benefits package to promote employee well-being and job satisfaction.

Job Requirements

Current applicable state RN licensure
minimum 2 years clinical nursing experience
academic degree in nursing (BSN or higher) preferred
case management certification preferred
BLS for Healthcare Providers from the American Heart Association required for all employees who perform this job in the state of Oregon
extensive knowledge of disease management including diagnostics, treatment and prognosis, community resources and healthcare reimbursement
knowledge of levels of care across the healthcare continuum including inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF
excellent organizational skills
health literate oral and written communication skills
knowledge of transitional planning
ability to determine and access community resources
ability to engage patients and families in healthcare goal discussions
ability to adhere to and implement regulations
keyboard skills and ability to navigate electronic systems

Job Qualifications

Academic degree in nursing (BSN or higher) preferred
extensive knowledge of disease management including diagnostics, treatment and prognosis, community resources and healthcare reimbursement
minimum 2 years clinical nursing experience
relevant experience in coordination of community resources, care management of diverse patient populations, ambulatory care preferred
knowledge of levels of care throughout the healthcare 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 to and from all venues
ability to determine and access appropriate community resources
ability to engage patient/family in discussion of healthcare goals and decisions with attention to cultural and health literacy implications
ability to adhere to and implement regulations effectively
keyboard skills and ability to navigate electronic systems
current applicable state RN licensure
case management certification preferred
BLS for Healthcare Providers from the American Heart Association required for Oregon employees

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