Providence Health and Services
Portland, OR, USA
Description:
RN Care Manager - Care Management at Providence St Vincent Medical Center
Fulltime, Days Mon-Fri and every 4th Weekend 8:00 AM 0 4:30 PM
We are seeking a Registered Nurse (RN) Care Manager - Care Management that will provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. Proactively develop and implement transition plans in coordination with the patient/family and interdisciplinary team for patients who require care in a non-home setting or those who require in-home services post-hospitalization. Support the interdisciplinary team as needed to develop transition plans for...