Nurse Case Manager Jobs

Remote Nurse Case Manager

• This position is remote* Must sit within 50 miles of Portland

Job Duties

Includes interfacing with NWP clinicians, community providers and members to ensure the member receives high quality, safe, efficient and timely medical services

Preview and preapprove requests for referral to community clinicians and/or programs for medically necessary services as requested by the NWP clinician.

Work directly with the member and the community clinician to coordinate medical services, providing accurate and timely information to the community physician and member related to requested services.

With Community Medicine Integration Center leadership, insures compliance with regulatory and accrediting requirements for utilization of referred services, including NCQA, MDQR, Federal and State agencies.

Triage and advice, care planning, receiving escalations form LPNs, making appointments , Post hospital assessments, case management

SCHEDULE: Monday - Friday, 8:00 AM - 5:00 PM (40 hours/week)

Skills And Qualifications

Current Oregon and Washington RN license

Basic Life Support certification (BLS) - MUST be through the American Heart Association

High School Diploma or GED

Valid Driver's License

EMR/EHR experience

Minimum two (2) years of experience in case management, care coordination, or population care.

Minimum two (2) years of direct patient care as a registered nurse.

Knowledge of case management principles.

Knowledge of Oregon Health Plan, including ORS requirements, pharmacy rules and regulations and OHP list of treatable diseases.

Knowledge of community resources for the care of the elderly and disabled.

Demonstrates customer-focused service skills.

Demonstrated ability to organize, coordinate, and manage care plans. Thorough knowledge of levels of care within outpatient, acute

care, and extended care settings.

Demonstrated ability to work as part of a multidisciplinary team.

Excellent written and verbal communication skills.

Ability to present reports verbally in a public setting (public speaking).

Demonstrated data entry skills and ability to use Microsoft Word software.

Ability to work independently and efficiently under pressure

Diversity, Equity & Inclusion

DE&I Are Embedded Into Our Culture Through

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people.

• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Hiring diverse talent
• Ensuring growth opportunities for our people

Actalent is an equal opportunity employer.

About Actalent

Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.