Department Summary:

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 Case 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.

The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's 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, and knowledge transferor [Onsomble Model of the Professional Role]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

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 and e-mail.

• Current, unencumbered Oregon RN license
• Bachelors degree in Nursing for external hires; BSN preferred for internal candidates
• 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.
• BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application)
• BLS must not expire during orientation or probation period, and must have the same expiration date (upload documentation with online application)
• Must be able to perform the essential functions of the position with or without accommodation
  

Working Conditions:

• 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.
• OHSU provides reasonable accommodations for applicants with disabilities, by request to the Affirmative Action and Equal Opportunity (AAEO) department at aaeo@ohsu.edu

• 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 Management4-8 weeks
• Resource 2-4 weeks