RN Case Manager at Portland, OR (Marquam Hill) – Portland, Oregon

Overview

The RN case manager is responsible for coordinating post-acute and discharge needs in a timely and cost-efficient manner. Using established criteria to determine appropriateness of continued hospital stay, RN case managers work with payors on obtaining needed authorizations for ongoing hospitalization and/or identified post-acute needs.

The RN Case Manager collaborates with the patient and family, members of the multidisciplinary team, community resources and agencies, and payors to ensure the patients progress and level of care is appropriately determined. Intensity of service is dependent on individual patient needs as assessed by the case manager. RN case managers practice robust utilization and resource management.

RN case managers also frequently lead multidisciplinary and family care conferences involving complex care situations. They contribute to meeting OHSUs strategic plan of safe length of stay reduction and reduction in readmission rates. Case Management is represented on every adult and pediatric unit and in the Emergency department.

Each Case Manager has an office with a workstation near the unit they are assigned to. Communication factors: Case Managers are available by pagers, telephone/voicemail, Microsoft Teams, Epic Secure Chat, and e-mail.

ED RN Case Manager: In addition to the above basic CM functions, also provides the following –
ï‚• Using approved criteria, conducts a comprehensive patient/family assessment and
admission clinical review upon admission to the emergency department to ensure
appropriateness of the care setting.
ï‚• Provide early identification of high-risk patients and their needs.
ï‚• Perform care coordination and discharge planning for patients in the Emergency
department and Observation units.
ï‚• Assess patients’ potential to discharge from the emergency department with community
care coordination.
ï‚• Round with Advance Practice Providers at designated times BID.
ï‚• Assist the transfer center with coordinating appropriate patient transfers out of the
emergency department.
ï‚• Educate providers regarding documentation requirements that support medical necessity
determinations.
ï‚• Deliver Condition Code 44 notices, Observation notices, and Medicare Important
Messages.
ï‚• Document according to departmental policy.
 Leads the eƯort to assure compliance with CMS and other insurance regulations related to
Care Management.
ï‚• Other functions as assigned.

Evening Shift RN Case Manager
 Provide nurse case management support to patients, families, and staƯ in both the
inpatient and emergency department settings for the evening shift 7 days per week.
 Receives referrals and hand oƯs from day shift case managers.
 Complete hand oƯ of information to day shift case managers.
ï‚• Trouble shoot and resolve any discharge delays or barriers carrying over into evening shift.
ï‚• Other functions as assigned.

Responsibilities

• BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date.
• ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date.
• Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire
• Current, unencumbered Oregon State Registered Nurse License
• BLS at time of hire and must be issued by the American Heart Association (AHA)
• BLS must not expire during orientation
• Must be able to perform the essential functions of the position with or without accommodation