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Case Manager: RN or Licensed Social Worker

Portland, OR, USA | KEPRO

  • Industry:
    Healthcare - Hospitals
  • Position Type:
    Part-Time
  • Functions:
    Operations / Production
  • Experience:
    1-3 years
Job Description:
58 people have viewed this job

In this very meaningful role, your work will help to open up space in hospitals for those who urgently need it. Come help us save lives and make your work mean something.


Note: This is a temporary position, 30-60 days and a great opportunity to earn extra cash and great experience in healthcare, while doing something meaningful.


Why us?


Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.


People Focused. Mission Driven.


Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.


We do this through our people.


Summary Description


Case managers are responsible for determining the needs of the member and coordinating services to ensure that needs are met in an individualized manner. Case managers coordinate multiple services for members through comprehensive assessment, care plan development, care plan implementation, follow-up activities, and referrals to other needed services. As a part of the delivery of case management services, this case manager role is field based and meets with members face-to-face in the community when applicable. The population served by Kepro OHPCC is the Oregon FFS Medicaid population under the OHP.


Accountabilities



  • Comprehensive assessments and periodic reassessment of individual needs, to determine that need for any medical, education, social or other services.

  • Development (and periodic revision) of a specific care plan that is based on the information collected through the assessment and medical records for the purpose of person-centered action plans.

  • Collaboration with internal and external stakeholders to promote the Triple Aim.

  • Communication activities which include face to face meetings, telephone interactions, caregiver interactions, rounds, interdisciplinary team meetings, and other related evidence-based practices.

  • Referrals and related activities (such as scheduling appointments for the individual) to help the eligible individual obtain needed services

  • Ensuring quality driven outcomes through best practice and motivational interviewing.


Qualifications



  • Bachelor’s degree in Nursing or a related field from an accredited college with active unrestricted RN License.

  • - Or -

  • Master’s degree in Social Work from an accredited college with active License.


Knowledge, Skills, Abilities



  • Must be comfortable working within a remote work from home environment, and electronic health system, working proficiency with Microsoft Office software.

  • Knowledge of case management methods, procedures and practices.

  • Ability to assess and reassess continuing member need.

  • Ability to develop and implement member Plan and determine the services most appropriate to meet the assessed need(s).

  • Ability to monitor the implementation of the plan of care.

  • Provide guidance to assist members in utilizing community services effectively and appropriately.

  • Promote members’ self-determination through a person-centered approach and evidence-based practice.

  • Must have personal cell phone and home internet connection.

  • Must have experience interacting with individuals, service providers, family members, other professionals, and community stakeholders, etc. Experience

  • Some experience in case management or managed care or Medicaid/Medicare payor experience.

  • Some clinical experience.


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