As required by licensure.
This position requires extensive clinical knowledge of diseases, work up procedures, treatment and prognosis, resource management, facilitation and coordination of a team approach and hospital discharge procedures. Minimum 3 years clinical nursing experience. Minimum 1 year of relevant experience in one or more of the following areas required, 3 years preferred:
Discharge Planning for arrangements of rehab, home health, hospice, skilled nursing home, long term acute care hospital facilities; accessing community resources; team collaboration in identification of patient’s inpatient and after care needs with an understanding of resource and utilization management.
Case Management with familiarity with community resources and levels of care.
Coordination of care for best practices for diverse patient populations with an understanding of diseases and treatments.
Current applicable state RN licensure. Certified Case Manager preferred.
Demonstrated knowledge of case management principles.
Excellent organization, oral and written communication skills for effective interaction with patients, patient’s families, physicians, multi-disciplinary team members, and representatives from insurance plans.
Knowledge of discharge/transition planning, health care reimbursement, utilization review processes and Medicare admission status/classification levels.
Knowledge of level of care criteria (InterQual).
Knowledge of regulatory issues.
Ability to adhere to and implement regulations in an effective manner. Must serve as a resource to all team members regarding regulatory issues.
Knowledge of computers and experienced in use of electronic medical chart and office systems.
Supports and models the Legacy Preferred Employee Profile.
Legacy Health System - 10 months ago
Legacy Health System strives to create a legacy of positive health in the Portland/Vancouver metropolitan area. A not-for-profit provider of...