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

Case Management is represented on every adult and pediatric unit and the Emergency department.

The Case Management central resource office is in Sam Jackson Hall 1226.

Each Case Manager has a workstation near the unit they are assigned to.

Communication factors: Case Managers are available 7 days a week between the hours of 0700- 2300. They are available by telephone, e-mail, and approved messaging applications.

ED RN Case Manager: In addition to the above basic CM functions, also provides the following –

• 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.
• Provide early identification of high-risk patients and their needs.
• Perform care coordination and discharge planning for patients in the Emergency department and Observation units.
• Assess patients’ potential to discharge from the emergency department with community care coordination.
• Round with Advance Practice Providers at designated times BID.
• Assist the transfer center with coordinating appropriate patient transfers out of the emergency department.
• Educate providers regarding documentation requirements that support medical necessity determinations.
• Deliver Medicare notifications including but limited to: Condition Code 44 notices, Observation notices, and Medicare Important Messages.
• Document according to departmental policy.
• Leads the effort to ensure compliance with CMS and other insurance regulations related to Care Management.
• Other functions as assigned.

Evening Shift RN Case Manager

• Provide nurse case management support to patients, families, and staff in both the inpatient and emergency department settings for the evening shift 7 days per week.
• Receives referrals and hand offs from day shift case managers.
• Complete hand off of information to day shift case managers.
• Trouble shoot and resolve any discharge delays or barriers carrying over into evening shift.
• Other functions as assigned.

RN Case Managers are responsible to be aware of and comply with regulatory requirements of DNV, Medicaid, Medicare, and Oregon Nurse Practice Act.

• Case Management Certification (ACMA, RN-BC, CMSA);
• Hospital based case management experience.
• 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 within a nursing unit, examples include: Charge nurse, UBNPC Chair/Member, Shared Governance councils.