Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals.
Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships.
Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery.
Evaluates patient outcomes against quality goals or benchmarks. Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.
Uses an evidence-based decision making process to determine the patient's priority goals and care activities in relation to:
Nursing's independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion)
The interdisciplinary plan of care
Documenting decision making in the patient's plan of care and hand-off communication
Protects and advocates for patient safety, health and well-being:
Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members (e.g. Patient Safety Net report, chain of command).
Speaks up and intervenes when a individual's actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice.
Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care:
Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to.
Allocates resources based on identified patient and family needs.
Speaks up immediately about concerns regarding assigned responsibilities.
Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care. Assures that the plan is aligned with the patient's physical, spiritual, and psychosocial goals, initiating changes as appropriate.
Delegates and supervises tasks consistent with other caregivers' scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights.
Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, scope, and standards of practice.
Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery. Engages patients and families in decision-making about the plan of care. Evaluates capacity for self-care and addresses concerns about transition to the next level of care, different healthcare facility or home.
Communicates the evaluation of patient's stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient's electronic record.
Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during hand-offs). Seeks knowledge from other members of the team to ensure safety of own practice. Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.
External applicants - BSN required
Communication skills including fluency in oral and written English.
Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information and tools.
Current unencumber Oregon RN license.
Certification in Basic Life Support.
Code of conduct.
Respect in the workplace
Applicable policies, procedures and agreements related to position, department or OHSU as a whole.
Current OHSU employees: BSN preferred.
Four years of recent health care experience. Lead Nurse experience with demonstrated communication skills.
Master's degree and certificate in Case Management.
Experience with family medicine patients.
Knowledge of clinical quality improvement models and process.
Bilingual skills relevant to population served.
Enthusiastic and willing to work in a fast-paced environment that serves many underserved patients.Experience and aptitude to work with underserved family medicine patients with diverse needs. Recent experience with culturally diverse patient populations.
Ability to perform duties using theory-based nursing practice model, evidenced-based practices, and shared governance in a multidisciplinary team model.
RN Case Manager must possess the ability to apply the operational principles of the clinics patient-centered primary care home model.
Strong experience with psychosocial assessment.
Strong patient, peer and provider communication skills.
Professional demeanor with excellent organizational skills.
Strong telephone advice and triage skills.
Demonstrated ability to serve as role model for the team and relationship-based care .
Demonstrate sound knowledge basis and actions in the decision making process.
Knowledge of general medical procedures and the ability to anticipate complications and the indicated therapeutic interventions.
Knowledge of clinic practices and ability to act as a resource for clinic personnel and assist the providers as necessary.
Ability to mentor and orient new staff members.
Knowledge of effective teaching processes and principles in planning, providing and evaluating optimum health care.
Knowledge of quality management and improvement processes to comply with internal and external standards, i.e., JCAHO.
Proficiency in the use of appropriate EMR and computer based software and office equipment.
Demonstrate expert practice skills that include flexibility, priority setting, problem solving, conflict resolution, networking skills, work delegation and organizing, verbal and written communication skills.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and r...esearch. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm