RN Care Management

Description

At Peace Health, our vision is simple yet powerful; every person receives safe, compassionate care - every time, every touch. As a Registered Nurse at Sacred Heart Medical Center, you'll be part of a collaborative, mission driven team dedicated to providing exceptional care. If you're ready to join a team where your expertise and compassion truly matter, please consider the following role with us:

• Role:
  Full-time RN Care Management
• Position Details:
  Coordinates and facilitates the discharge plan of care and services for our inpatient population
• Schedule:
  
  .8 FTE day shift position working four 8-hour shifts each week
• Hospital: 350 bed acute care medical center with level II trauma center

• A current wage range of $50.78 - $79.78, rate of pay is dependent upon RN experience and terms of the Oregon Nurses Association union contract.
• Additional compensation for BSN (4%), MSN (5%) and Specialty Nursing Certification ($3.75)
• Great shift differentials & weekend differential
• Professional Nurse Advancement Program with pay incentives
• Relocation Assistance & Hiring Bonus
• Full benefits package effective the first of the month following start date
• Excellent Tuition Assistance and CE
• A mission driven healthcare system

• Surrounded by forests, rivers, mountains, and scenic trails.
• Easy access to hiking, biking, fishing, kayaking, camping, and skiing.
• Just an hour from the Cascade Mountains and the Oregon Coast.
• Nationally recognized bike-friendly community.
• Extensive trail systems, parks, and outdoor fitness opportunities.
• Mild climate allows for year-round outdoor activities.

• Variety of neighborhoods, from urban living to family-friendly suburban communities.
• Home to the University of Oregon.
• Vibrant arts, culture, sports, and educational opportunities.
• Diverse population with a welcoming community atmosphere.
• Excellent parks, recreation programs, and family activities.

• Less than two hours to Portland.
• Easy access to mountains, beaches, and other Northwest destinations.
• Eugene Airport offers convenient regional connections.

Coordinates and facilitates the discharge plan of care and service of selected patient populations across the continuum of illness, promote effective utilization and monitoring of health care resources, and assumes a leadership role with the interdisciplinary team to achieve optimal clinical, financial, and satisfaction of outcomes. Acts as intermediary between hospital and third-party payors to ensure patients receive appropriate medical services, and the organization receives appropriate and optimal reimbursement, in accordance with regulatory standards.

• Reviews patient admission data within established time frames of department, to determine the appropriate level of care in accordance with hospital-sanctioned industry standard criteria and/or other established criteria for other settings across the continuum of care.
• Assesses, develops, implements and monitors a comprehensive discharge plan of care through an interdisciplinary team process in conjunction with the patient and family in internal and external settings.
• Comprehensively assesses patients’ goals as well as their biophysical, psychosocial, environmental and discharge planning needs and financial status.
• Identifies key problems, strengths and resources to be addressed in the discharge plan of care, including needed resources post-discharge. Coordinates and facilitates those services.
• Ensures accurate documentation for patient’s continued hospital stay is established and maintained, coordinates necessary changes with attending physician and other team members as necessary to achieve optimal care and reimbursement.
• Communicates proactively and adeptly with members of the interdisciplinary team to ensure hospital and community resources are appropriately and effectively utilized on behalf of patients and their families.
• Facilitates interdisciplinary team meetings to improve quality, decrease cost and improve patient satisfaction.
• Coordinates documentation and clarifies necessary details with Patient Financial Services to assist in decreasing denials.
• Ensures the completion of documentation necessary for utilization assessments and communicates via electronic medical record information needed to justify continued hospitalization. Maintains any applicable care management databases.
• Performs concurrent review to determine correct admission status per insurance criteria, including Interqual or other industry standard criteria recognized by Medicare. Monitors and documents variance days, communicates with attending physician and UR Physician Advisor as indicated. Documents outcomes in appropriate locations.
• Communicates within designated time frames with third party payors in order to obtain authorizations and resolve payment issues on behalf of patients and families and the…