Career Center

Department Overview

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.

Case Management is represented on every unit and the Emergency department.

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, Microsoft Teams, and e-mail.

Function/Duties of Position

Hiring Bonus and Relocation Package Available

Here are just a few of OHSU's overall benefits:

• Comprehensive health care plans covered 100% for full-time employees and 88% for dependents
• $25K of term life insurance provided at no cost to the employee
• Two separate above market pension plans to choose from
• Vacation: 192 to 288 hours per year depending on length of service, prorated for part-time
• Sick Leave- 96 hours per year, prorated for part-time
• Substantial public transportation discounts (Tri-met and C-Tran)
• Tuition Reimbursement Program
• Innovative Employee Assistance Program (EAP) including extensive wellness resources

OHSU is a Level 1 Trauma Center with a vast variety of medical and surgical specialties. RN Case Managers work at the top of their license with admin delegation support and OHSU has a robust team. There are UM Case Managers who support initial and concurrent reviews. There are also unique Case Management support roles such as Mission Control that oversees patient transfers.

Transitional Care and Post-Acute Care programs.

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 DNV, Medicaid, Medicare and Oregon Nurse Practice Act.

Required Qualifications

• Associate or 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)
• BSN preferred
• Associate Degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire.
• Current, unencumbered Oregon RN license
• 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.

Preferred Qualifications

Working conditions:

Ability to lift, bend, stoop, reach, carry, push, pull and walk throughout the work period. Complies with the safe patient mobilization policy when lifting or positioning dependent patients, including using mechanical lifts and coordinating the assistance of other personnel.

Must be able to use all senses: seeing, hearing, touching, smelling, and speaking. Reasonable accommodations include corrective lenses and/or hearing aids

The work environment carries risk of exposure to human tissue/fluids and radiation.

Must be able to deal with competing needs and priorities of internal and external customers, including making correct

judgments regarding ensuring safe conditions for patients, families, and other personnel.

Use of relevant hospital approved clinical equipment. Significant use of computers, copiers, multi-line phones, and fax.

Usual Orientation Time:

Experienced hospital based Nurse Case Manager 4-6 weeks

Experience in acute care but not Case Management 4-6 weeks

Resource 4-6 weeks

*Bonus Disclaimer: current RN employees at OHSU, Adventist Medical Center in Portland or Hillsboro Medical Center are not eligible for the hiring bonus.

All are welcome