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RN, Care Manager (Outpatient), Full-time, RN Care Manager

Adventist Health
United Statesfull_timeVerifiedPosted 14 Nov 2024

About the role

In a bustling cosmopolitan area surrounded by nature, Adventist Health Portland has been one of the area's leading healthcare providers since the 1800s. In partnership with OHSU, we are comprised of a 302-bed hospital, 11 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout East Portland and the surrounding areas. There are many outdoor adventures readily available, including carving the snow at North America's only year-round ski resort, hiking along the Columbia River Gorge or taking a day trip to the unmatched beauty of the Oregon coast.

Job Summary:

Completes all referrals and pre-authorizations for outpatient services ordered by the physician. Works as a liaison between physicians, insurance carriers, patients, billing office, and registration staff.

Job Requirements:

Education and Work Experience:

  • Bachelor's Degree in Nursing (BSN): Preferred
  • Experience in a care management role: Preferred

Licenses/Certifications:

  • Registered Nurse (RN) licensure in the state of practice: Required
  • Case management certification: Preferred

Facility Specific License/Certifications:

  • Basic Life Support (BLS) or HeartCode BLS (HBLS) or Healthstream Basic Life Support (HS-BLS): Required

Essential Functions:

  • Performs initial patient assessment to include physical, psychosocial, safety and environmental assessment. Includes participation and input from patient and family, making appropriate referrals after getting physician orders.
  • Coordinates patient care with other disciplines; integrating input from disciplines. Ensures orders and changes in care are documented on physician orders and submitted for timely signatures. Performs ongoing nursing assessments and changing plans of care as needed. Initiates discharge planning at start of care; notifying patient of pending discharge.
  • Monitors staff efficiency and productivity. Monitors cases for appropriate case assignments.
  • Orients new employees by providing outpatient specific orientation for all new field staff. Ensures that staffing is adequate to support the orientation process. Meets regularly (at least monthly) with employees during the first three months of employment to facilitate transition to a fully productive status.
  • Completes and legibly documents all pertinent information in accordance with established policies and procedures.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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Company

Adventist Health

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