Case Manager-82002

US-OR-Hillsboro
Department
Case Management-82000
Req #
2017-4309
Job Type
Full Time (80 hours per pay period)
Shift
Days
# of Openings
1
Classification
Non-Exempt
Budgeted Hours Per Pay Period
80

Overview

At Tuality Healthcare, an OHSU Partner, it's an honor and a privilege to serve those near us. That's why since our beginnings in 1918, and as we expand our strong network of services through our clinical affiliation with OHSU, we continue to be committed to providing the best health care possible and a valued community partner.  Our affiliation with OHSU brings the advanced medical resources of Oregon’s only academic health center, which allows local providers to receive guidance from some of the country’s top specialists and pass that expertise on to Tuality patients where they can be cared for in their community. 

 

Tuality’s many awards showcase our position as one of the Portland metro area’s premier healthcare providers, including 5th straight year in Top 10 Healthiest Employers in Oregon from The Portland Business Journal, Tuality’s 6th straight Gold Plus Award from the American Heart Association, and 2016 #1 Nationwide Best Hospital IT Department to work for according to Healthcare IT News.

 

Here at Tuality our employees care about making a difference.  In fact, they care so much that in our most recent employee satisfaction survey we had an 80% participation rate!  Tuality is truly unique because of the relationships we build and as individuals we are seen and heard.  Come be part of our team, and let your voice be heard!

Summary of Duties

Analyzes patient medical records concurrently and/or retrospectively for quality assessment, utilization review, and discharge planning criteria.  Provides concurrent reviews and retrospective reviews to insurance carriers for authorization of services.  Coordinates discharge plans and orders for patients leaving the hospital.

 

Hiring Competencies

  1. Education:  Completion of course(s) in Case Management preferred. A copy of your highest academic diploma or transcript required upon hire.
  2. License:  Current license as a Registered Nurse by the Oregon State Board of Nursing.
  3. Strong clinical nursing skills with at least 5 years hospital experience in varied clinical settings.
  4. Demonstrates ethical commitment to quality assurance and confidentiality of all data and information.
  5. Emulates THC dress code and Code of Conduct that incorporates presenting a good first and lasting impression by personal appearance and interpersonal skills.
  6. Advanced communication and interpersonal skills that utilizes consideration body language, filters, listening, paraphrasing, and questions with customers of diverse ethnic and cultural backgrounds.  This also includes the skills to obtain and interpret information appropriate to patients' needs and age as required for assessment, range of treatment and patient care.
  7. Knowledge of community health and social service resources preferred.
  8. Ability to write clear and legible clinical notes.
  9. Experience working in highly confidential settings.
  10. Possesses excellent telephone skills and interpersonal communication abilities both verbal and written.
  11. Ability to develop case management care plans and solutions utilizing problem-solving skills.
  12. Familiar with computerized word processing, database and spreadsheet programs.
  13. Ability to implement ideas and programs required.
  14. Self directed and must be able to follow through on projects with attention to detail and implement ideas and programs with minimal supervision.
  15. Demands creativity, flexibility and the ability to work under stress.

 

PHYSICAL REQUIREMENTS AND HAZARDS: 

Percentage of Time Spent:

% of time

Physical Requirement

30%

Standing

55%

Sitting

10%

Walking

5%

Lifting / Carrying

Physically Demanding Tasks:  Eye-strain from continual computer usage.

Additional Posting Information

Tuality Healthcare believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.

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