• Case Management Manager 82018

    Department
    Case Management-82000
    Req #
    2018-4801
    Job Type
    Full Time (80 hours per pay period)
    Job Locations
    US-OR-Hillsboro
    Shift
    Days
    # of Openings
    1
    Classification
    Exempt
    Budgeted Hours Per Pay Period
    80
  • Summary of Duties

    For more information about this position contact:
    Linnea Cornish
    Talent Acquisition Partner
    linnea.cornish@tuality.org

    503-681-1792

     

     

    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. Oversees and/or submits weekly catastrophic and quarterly reports and statistics for presentation to the Utilization Review Committee and Admin Team. Develop, teach and monitor orientation program for new Case Management and Social Work employees to ensure consistency. Advises TCH committees in the development and implementation of utilization, quality and cost management approaches to achieve effective performance in the health care continuum and transitions of care. Responsible for oversight of the Case Management staff and daily operations of the department.

    Hiring Competencies

     

    1. Education: Graduate of accredited School of Nursing; preferably with a bachelor of science in nursing. Obtains a Masters in Nursing within 5 years of hire.
    2. License: Current license as a Registered Nurse by the Oregon State Board of Nursing. CCM (Certified Case Manager) preferred.
    3. Minimum 2 years previous supervisory experience in Case Management or other hospital setting.
    4. Demonstrates competency in areas of Case Management, Utilization Review and Discharge Planning.
    5. Strong clinical nursing skills with at least 3- 5 years hospital experience in varied clinical settings.
    6. Demonstrates ethical commitment to quality assurance and confidentiality of all data and information.
    7. Demonstrates excellent customer service skills.
    8. 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.
    9. Ability to develop case management care plans and solutions utilizing problem-solving skills.
    10. Knowledge of community health and social service resources preferred.
    11. Ability to document care in the Electronic Health Record accurately and efficiently.
    12. Emulates THC dress code and Code of Conduct that incorporates presenting a good first and lasting impression by personal appearance and interpersonal skills.
    13. Experience working in highly confidential settings.
    14. Possesses excellent customer service, telephone skills and interpersonal communication abilities both verbal and written.
    15. Familiar with computerized word processing, database and spreadsheet programs.
    16. Self-directed and must be able to follow through on projects and implement ideas and programs with minimal supervision.
    17. Demands creativity, flexibility and the ability to work under stress.
    18. Ability to follow through on projects with attention to detail and accuracy.
    19. Ability to effectively supervise others and create a welcoming environment for staff.
    20. Knowledge of medical staff organizations, managed care plans, quality improvement, and utilization management required.

    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!

    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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