Weekend Case Reviewer Jobs in Oregon (NOW HIRING)

Overview
Employer Paid Medical, Dental, and Vision Benefits!
Min $46.78 Max $79.58
Flex Schedule
Everythother weekend
Case Management
Definition of Position:
Assesses, develops, implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient and family in internal and external settings. Comprehensively assesses patients' goals as well as their biophysical, psychosocial, environmental, functional, and financial status. Procures services and serves as advocate on behalf of patients and families for scarce resources. Directs families to arrange for services which require patient/family decision and participation. Acts as liaison to post-hospital care providers and community health resources. Communicates continually with patients, families, medical and hospital staff, caregivers, and post hospital resources. Facilitates or provides necessary patient and family education prior to admission, during hospital stay, and after discharge as indicated. Develops and maintains a positive work climate and positive working relationships with patients, families, medical and hospital staff, post hospital care providers and community agencies.
Reports to: Case Management Manager
Responsibilities
Essential Job Functions:

• Assessing patients' healthcare needs and developing comprehensive care plans
• Facilitating communication between patients, families, and healthcare providers
• Coordinating transitions between care settings (hospital to home, rehab, long-term care)
• Ensuring continuity of care throughout the treatment process
• Evaluating medical necessity for treatments, procedures, and hospital stays
• Collaborating with insurance companies to obtain authorizations
• Monitoring length of stay and identifying potential discharge barriers
• Ensuring appropriate use of healthcare resources
• Advocating patients' needs and preferences with the healthcare team
• Educating patients and families about diagnoses, treatments, and self-care
• Connecting patients with community resources and support services
• Addressing barriers to care (financial, social, logistical)
• Regularly reviewing and updating plans based on client progress
• Connecting clients with appropriate community resources
• Facilitating referrals to specialized services (housing, healthcare, legal aid)
• Advocating for clients with service providers and systems
• Representing client interests within complex service systems
• Ensuring clients receive entitled benefits and services
• Maintaining accurate and thorough case management records
• Documenting assessments, interventions, and outcomes
• Tracking quality metrics and patient outcomes
• Preparing reports for healthcare teams and administration
• Working with physicians, therapists, social workers, and other healthcare team members
• Participating in interdisciplinary care conferences
• Consulting with specialists regarding complex patient needs
• Coordinating care plan implementation across disciplines
• The employee supports the hospital mission, vision, values, policies, and procedures.
• Participates in required education for DNV programs as applicable to position (reference program education curriculum).
• Performs other related duties as assigned.

Personal Traits, Qualities, and Aptitudes:
Presents self positively on the phone and in person. 2) Conveys empathy and compassion in conversation. 3) Relates to others in a manner which creates a sense of teamwork, cooperation and confidence. 4) Works independently and completes assignments as scheduled or communicates barriers to timely completion to manager. 5) Recognizes the rights and responsibility of patient confidentiality and handles information appropriately. 6) Communicates effectively with people from a variety of socio-economic backgrounds, taking their cultural and spiritual values into consideration. 7) Relates well to children, adolescents, adult and geriatric clients.
Qualifications
Qualifications:
Education:
Required: Graduate of an accredited school of medicine, social work, nursing or related medical occupation.
Preferred: Previous experience with coordinating community resources for post-acute hospitalization care. BSN/MSN.
Licenses/ certifications/ registrations:
Required: Active Oregon RN License
Preferred: Case Management Certification
Experience:
Required: Previous clinical experience in an acute care setting, or home health setting assessing skilled care needs and equipment and health maintenance resource needs.
Preferred: Previous Discharge Planning and/or Case Management experience.
Other:

• Bilingual and/or English Spanish speaking preferred.
• Ability to work with culturally diverse population.

Physical Requirements:
The physical and sensory functions described below are essential to the successful performance of this position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions. The position requires sufficient auditory ability to detect and respond to various sounds, including patient alarms and verbal communication. Clear and effective communication is essential, as is the ability to interact with patients, families, and healthcare team members. Visual acuity is necessary for observing patient conditions, reading documentation and monitors, and distinguishing colors for clinical purposes, such as identifying medications or safety indicators. Tactile perception is also important for assessing physical characteristics such as temperature, size, shape, or texture during patient care. Motor coordination is required for reaching, grasping, handling, and performing fine motor tasks necessary for the use of medical equipment and procedures. The position also involves occasional stooping, kneeling, crouching, or crawling when assisting patients or accessing equipment. Walking and standing are typically continuous throughout the shift. The role requires the ability to lift to 50 pounds independently and involves frequent pushing, pulling, carrying, or repositioning of objects or patients weighing up to 25 pounds. There may also be occasional lifting or transferring of individuals weighing over 100 pounds, with the expectation that appropriate lifting techniques, mechanical aids, or team assistance will be used to ensure safety. May to sit for long periods of time.
Working Conditions:
This position is performed primarily in an indoor healthcare environment, such as a hospital, clinic, or long-term care facility. While the work setting is protected from outdoor weather conditions, it may be subject to variable indoor temperatures. The role involves frequent exposure to infectious and contagious diseases, hazardous materials, and medical equipment, with the expectation that all staff follow appropriate safety protocols and utilize personal protective equipment (PPE) as required.
The health care environment can be fast-paced and unpredictable, requiring the ability to respond quickly to changing circumstances, including high-pressure or emergency situations. The work setting also involves multiple simultaneous demands and varying levels of noise due to medical equipment, staff activity, and patient needs.
40 Hours USD $46.78/Hr. USD $79.58/Hr. 01-7181 Case Management Flex Schedule