The Case Management department assures several major services to provide a safe and efficient passage of patients through their acute hospitalization and transition to the next level of care. Our goal is to balance individual clinical and psychosocial patient/family needs with the efficient and cost effective utilization of resources while promoting quality outcomes.RN Case Managers provide a coordinated approach with in the interdisciplinary team in determining appropriateness of admission, continued stay in the hospital and planning for transition to various levels of care in the hospital, community and home. Intensity of service is dependent on individual patient needs as assessed by the case manager. Nurse Case Managers assure robust utilization review, resource management and discharge planning.
RN Care Managers assess each patient on admission for available family support, insurance resources, and potential discharge planning needs. They use established criteria to determine appropriateness of admission and continuing stay and work with insurance companies to assure on going authorization for continued stay and post hospital needs. Daily care coordination rounds occur on each nursing unit Monday through Friday at which Case Managers meet various disciplines to discuss the plan for the day and the plan for the patients stay. They will also frequently lead and/or be involved in multidisciplinary care conferences with family involving complicated care situations.
RN Case Managers are responsible to be aware of and comply with regulatory requirements of JACHO, Medicaid, Medicare and Oregon Nurse Practice Act.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RNs care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role]. Professional accountability enriches the Clinical RNs engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical Nurse exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.
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External applicants- Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
Current OHSU employees: BSN preferred
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 unencumbered Oregon RN license
Current BLS certification issued by the American Heart Association or the Military Training Network
Proficiency within the interdisciplinary team in leading daily discharge rounds, negotiating conflicts, coordinating patient goals between disciplines, communicating about and educating physicians on patient status decisions
Ability to describe what utilization review criteria is and how it is utilized
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 with in nursing unit examples include: Charge nurse, UBNPC Chair/Member, Shared Governance councils
Case Management is represented on every unit and the Emergency department
The Care Management central resource office is located in 9A4
Each Case Manager has an office with a work station near the unit they are assigned to
Communication factors: Case Managers are available by pagers 7 days a week during the day
They are also available by telephone/voicemail and e-mail
Must be able to perform the essential functions of the position with or without accommodation
Case Management Certification (ACMA, RN-BC, CMSA)
Hospital based case management experience
Usual Orientation Time:
Experienced hospital based Nurse Case Manager 2-4 weeks
Experience in acute care but not Case Management 2-4 weeks
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