The Nurse Case Manager advocates for patients, and collaborates with the interdisciplinary team, for a process of assessment, planning, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs in the hospital and into the community. The Nurse Case Manager facilitates through communication, and leverages available resources to promote quality, cost-effective outcomes.
The Nurse Case Manager analyzes patient medical records concurrently and/or retrospectively for quality assessment, utilization review, and discharge planning criteria. Provides concurrent reviews and retrospective reviews to insurance carriers for authorization of services. Coordinates discharge plans and orders for patients leaving the hospital.
About OHSU Tuality Healthcare: At Tuality Healthcare, an OHSU Partner, it's an honor and a privilege to serve those near us. That's why since our beginnings in 1918, and as we expand our strong network of services through our clinical affiliation with OHSU, we continue to be committed to providing the best health care possible and a valued community partner. Our affiliation with OHSU brings the advanced medical resources of Oregon’s only academic health center, which allows local providers to receive guidance from some of the country’s top specialists and pass that expertise on to Tuality patients where they can be cared for in their community.
For more information about this position contact: Linnea Cornish Talent Acquisition Partner email@example.com
Education: Completion of Bachelor’s degree in Nursing, preferred. Completion of course(s) in Case Management preferred. A copy of your highest academic diploma or transcript required upon hire.
License: Current license as a Registered Nurse by the Oregon State Board of Nursing.
Certification: American Heart Association Healthcare Provider BLS required upon hire.
Strong clinical nursing skills with at least 5 years hospital experience in varied clinical settings.
Experience in Hospital Inpatient setting, Emergency Department or utilization management a plus.
Demonstrates ethical commitment to quality assurance and confidentiality of all data and information.
Emulates THC dress code and Code of Conduct that incorporates presenting a good first and lasting impression by personal appearance and interpersonal skills.
Advanced communication and interpersonal skills that utilizes consideration body language, filters, listening, paraphrasing, and questions with customers of diverse ethnic and cultural backgrounds. This also includes the skills to obtain and interpret information appropriate to patients' needs and age as required for assessment, range of treatment and patient care.
Knowledge of community health and social service resources preferred.
Ability to write clear and legible clinical notes.
Experience working in highly confidential settings.
Possesses excellent telephone skills and interpersonal communication abilities both verbal and written.
Ability to develop case management care plans and solutions utilizing problem-solving skills.
Familiar with computerized word processing, database and spreadsheet programs.
Ability to implement ideas and programs required.
Self directed and must be able to follow through on projects with attention to detail and implement ideas and programs with minimal supervision.
Demands creativity, flexibility and the ability to work under stress.
Bilingual skills a plus.
Tuality Healthcare believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.
Internal Number: 2018-4772
About OHSU Tuality Healthcare
OHSU Tuality Community Hospital is a non-profit, general care medical facility located in Hillsboro, Oregon, U.S.A. Tuality is an OHSU partner with 167 beds and state-of-the-art acute care services. Tuality affiliation with OHSU brings the advanced medical resources of Oregon's only academic health center, which allows local providers to receive guidance from some of the country's top specialists and pass that expertise on to Tuality patients where they can be cared for in their community.