Providence Health & Services RN Care Manager in Newberg, Oregon
Providence is calling a RN Care Manager (0.8 FTE, Days) to Providence Newberg Medical Center in Newberg,OR.
We are seeking a Care Manager who will be responsible for facilitating the patient's progress through the hospitalization from pre-admission through discharge and transition to the next care setting. The Care Manager works with patients/families, physicians, nurses, social workers and other health team members to enable each patient to progress towards care goals and be prepared for timely discharge or transfer. The Care Manager applies clinical expertise and knowledge of utilization management principles to care facilitation and discharge planning. The Care Manager fully partners with and promotes focused programs such as Utilization Management and Clinical Documentation Specialists
In this position you will have the following responsibilities:
• Conducts clinical assessment of patient within 8 hours of admission in order to identify clinical resources required to achieve optimal patient outcomes in a timely/efficient, quality and cost effective manner and identify potential barriers to safe discharge/transition. Completion of assessment includes but is not limited to:
◦ Interview with patient, family and or caregiver.
◦ Chart review.
◦ Clinical discussion with physicians, Multidisciplinary Team.
◦ Discharge planning assessment.
◦ Collaborate with UM to assign initial expected length of stay.
• Identifies high-risk patients and refers to Social Worker for psychosocial assessment and/or Discharge Planning Specialist for proactive discharge planning
Care Coordination and Facilitation:
• With UM Coordinator, assigns initial expected length of stay and maintains system for monitoring, reviewing and updating length of stay in a timely manner.
• Discusses estimated length of stay, treatment and discharge plan with the physician, nurses, and other members of the care team as indicated. Initiates discussion with physician(s) to: provide updates; educate on criteria and appropriate level of care; determine and coordinate post-acute needs; initiate referrals and recommendations of consults; documentation requirements and other information to maintain a collaborative relationship with physicians in coordinating patient care to facilitate timely discharge.
• Consults and collaborates with staff nurse(s), charge nurse/nurse manager regarding care plan.
• Manages each patient's (and family) transitions and expectations throughout their stay.
• Coordinate using established criteria, collaborated with Utilization Management to review appropriateness of patient's admission, need for continued stay, information needed for discharge.
• Conducts (daily) interdisciplinary patient rounds and facilitates care conferences as required. Ensures that the interdisciplinary care plan and the discharge plan are consistent with the patient's clinical course, continuing care needs and covered services
• Develops Discharge Plan:
◦ Complete clinical review of patient stability for discharge utilizing clinical assessment skills.
• Assesses, identifies and reviews critical elements of a patient's hospitalization and significant other/family situation, to facilitate achievement of discharge outcomes, post hospitalization recovery, health maintenance and promotion.
• Refers complex discharge planning issues to other members of the care team as directed by referral criteria.
• Educates patients/families regarding available community resources, coverage/noncoverage issues
• Collect data on variances from quality screening criteria and assures compliance with core measures; reports quality concerns to Quality Management; continually ensures and enhances quality outcomes.
◦ Incorporates data elements into practice.
• Utilizes current PH&S policies and procedures to document care management goals, interventions, progress and outcomes.
• Effectively manages patient caseload and responsibilities of role, prioritizing tasks and follow-up activities independently. Establishes a system for coordinating/managing the caseload throughout the episode of acute care, utilizing information (diagnosis, M.D., financial classification, etc.) in order to assist in establishing daily priorities.
• Maintains, updates and actively improves care management skills, including case-finding high risk individuals, care coordination, transition planning and implementation, documentation and evaluation of effectiveness, chronic disease interventions and issues, teamwork, physician communication, process improvement, knowledge of community resources.
Required qualifications for this position include:
Bachelor’s Degree in Nursing
3 years Acute care hospital or community based experience
Strong clinical background with recent relevant experience
Current Oregon RN license
Preferred qualifications for this position include:
Master’s Degree in Nursing
2 years acute Acute care hospital supervisory experience
Utilization review or discharge planning experience
CCM, ACM or ABQAURP certification
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Case Management
Req ID: 251258