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WorkSource Oregon RN Case Manager in Bend, Oregon

Mosaic Medical prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. Since our founding in 2002 we have proudly served insured and uninsured patients regardless of age, ethnicity, or income. We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way. At Mosaic Medical, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team based environment. Mosaic Medical offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors! Central Oregon offers over 300 days of sunshine a year, so enjoy a PTO day on the mountain, biking/hiking trails, or the river! A lifestyle that improves lives, including yours. Of course, we also offer a great benefit package! Check out benefit info here. Opportunity The RN Case Manager (RNCM) is responsible for outreach, intake, and ongoing proactive case management Chronic Care Management (CCM) services for an identified panel of high-risk patients in the Mosaic Medical Home. The RNCM will also provide short term case manage for care transitions between acute settings to home for identified high risk patients. This high-risk population may include patients with complex medical conditions, and/or socioeconomic and mental health co-morbidities. Using the Nursing Process, assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient's health status. The RNCM will demonstrate and apply knowledge of the principles of comprehensive case management, patient-centered, culturally sensitive care coordination and management of complex patients. Experience with Motivational Interviewing desired. Duties may include meeting with patients in a variety of community settings, and travel to Mosaic clinics across the system. Responsibilities - Manage a defined panel of high-risk patients with the goals of optimizing the patients' health status and minimizing inpatient hospital and emergency department utilization - Collaborate with Quality, Value Improvement, and Population Health staff to identify high-risk patients - Implement evidence-based interventions and approved protocols for chronic conditions Skills & Knowledge Required: Superior nursing process skills. Critical thinking and problem solving skills. Excellent written, verbal, telephone and interpersonal communication skills. Understanding of patient and family-centered care concepts. Strong organizational skills. Familiarity/experience with patient interaction on the telephone. Basic typing and computer skills and comfort with Microsoft Windows operating system. Preferred: EHR experience - EPIC experience a plus. Fluency in Spanish preferred. Involvement with quality improvement processes. Clinical system design and development. Motivational Interviewing experience. Knowledge of health insurance plans and standard office po