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RN, PHO Clinic/Infusion Resource

apartment Oregon Health & Science University location_onPortland, OR

$63.54 - $96.66 / HOUR

Department Overview The nurse in this position will provide comprehensive care to pediatric hematology and oncology patients in an ambulatory and infusion setting. The Registered Nurse provides complex care coordination, extensive phone triage, and clinic management including the shared facilitation of clinical research trials, infusion and BMT. Function/Duties of Position Patient Population Pediatric Hematology and Oncology Patients Pediatric Infusion Patients The nurse in this position will provide comprehensive care to Pediatric Hematology/Oncology/BMT patients in an ambulatory setting, including administration of chemotherapy/biotherapy, blood products, and supportive care. The RN also will provide infusion therapy for specialty service patients such as gastroenterology, nephrology, neurology, immunology, genetics, and more. Required Qualifications Department Specific Requirements: Previous experience with Epic EMR, including Epic Beacon application. APHON chemotherapy/biotherapy administration certification- or obtained within 6 months of start PALS certification BLS certification Minimum of 2 years of recent experience (within the last 3 years) experience in Pediatric or Adult Hematology/Oncology/BMT nursing or: 2 years of recent (within the last 3 years) Previous experience in Pediatric or Adult Ambulatory Infusion nursing BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS at time of hire and must be issued by the American Heart Association (AHA) BLS must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

RN

Part-time

RN Case Manager

apartment Oregon Health & Science University location_onPortland, OR

$52.11 - $86.81 / HOUR

Department Overview The Care Management department provides several major services to assure safe and efficient through-put of patients during their acute hospitalization and transition to the next level of care. Our goal is to balance individual clinical and psychosocial patient/family needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. RN case managers assess patients on admission for available family support, insurance resources, and potential discharge planning needs. They engage in daily multidisciplinary rounds Monday through Friday to develop and implement patient discharge plans with input from various other disciplines. The RN case manager is responsible for coordinating post-acute and discharge needs in a timely and cost-efficient manner. Using established criteria to determine appropriateness of continued hospital stay, RN case managers work with payors on obtaining needed authorizations for ongoing hospitalization and/or identified post-acute needs. The RN Case Manager collaborates with the patient and family, members of the multidisciplinary team, community resources and agencies, and payors to ensure the patient’s progress and level of care is appropriately determined. Intensity of service is dependent on individual patient needs as assessed by the case manager. RN case managers practice robust utilization and resource management. RN case managers also frequently lead multidisciplinary and family care conferences involving complex care situations. They contribute to meeting OHSU’s strategic plan of safe length of stay reduction and reduction in readmission rates. Case Management is represented on every adult and pediatric unit and in the Emergency department. Each Case Manager has an office with a workstation near the unit they are assigned to. Communication factors: Case Managers are available by pagers, telephone/voicemail, Microsoft Teams, Epic Secure Chat, and e-mail. Function/Duties of Position Case Management is represented on every adult and pediatric unit and the Emergency department. Communication factors: Case Managers are available 7 days a week between the hours of 0700-2300. They are available by pager, telephone, e-mail, and approved messaging applications. Admit/ED Nurse Case Manager: In addition to the above basic CM functions, also provides the following – Assuring accurate patient status and admission order for pts entering via ED, and OR, 7 days per week Reviews ED Observation unit patients for meeting observation criteria and completes UR using established criteria. Round with NP in ED OBs by 10am. Effectively communicates reviews with Patient Placement Office. Follows up in collaboration with unit CM on admission status and completeness of Utilization review on admission. Performs discharge planning for patients in the Emergency department Assesses patients potential to DC from ED with community care coordination (PCP location, follow up appointments, medication assistance, SNF, long term care, DME, Memory or Foster care) Back up for weekend/EVE Case Managers. Follows current data tracking procedures Reviews transfer center patients and advise physicians on acceptance of potential transfers. Preforms Utilization Review for each patient admitted without a review during weekend hours using established medical necessity guidelines. Reviews order/classification discrepancies and take actions to resolve the discrepancy. Discusses cases with providers and Case Managers as needed, including attending physicians and escalation to the Care Management Physician Advisor when indicated. Assesses for and tracks potentially avoidable hospital days. Educates providers regarding documentation requirements that support medical necessity determinations. Delivers Condition Code 44 notices, Observation notices, and Medicare Important Messages in the absence of sufficient clerical support. Documents according to departmental policy. Leads the effort to assure compliance with CMS and other insurance regulations related to Utilization Review. Evening Shift RN Case Manager Provide nurse case management support to patients, families, and staff in both the inpatient and emergency department settings for the evening shift 7 days per week. Receives referrals and hand offs from day shift case managers. Complete hand off of information to day shift case managers. Trouble shoot and resolve any discharge delays or barriers carrying over into evening shift. Other functions as assigned. RN Case Managers are responsible to be aware of and comply with regulatory requirements of DNV, Medicaid, Medicare and Oregon Nurse Practice Act. Department Specific Working Conditions Case Management is represented on every unit and the Emergency department. The Care Management central resource office is located in 9A4. Each Case Manager has an office with a work station near the unit they are assigned to. Communication factors: Case Managers are available by pagers 7 days a week during the day. They are also available by telephone/voicemail and e-mail. Required Qualifications Department Specific Requirements (competencies, equipment, certifications, etc.): At least 2 years of acute inpatient hospital experience as a Case Manager in the last 5 years. Proficiency within the interdisciplinary team in leading daily discharge rounds, negotiating conflicts, coordinating patient goals between disciplines, communicating about and educating physicians on patient status decisions. Ability to describe what utilization review criteria is and how it is utilized. Proficiency with managing difficult and sensitive family and provider care conferences including: adjustment to new levels of function, end of life discussions, imbalance of available resources (social, spiritual, medical, financial). Progressive leadership positions with in nursing unit – examples include: Charge nurse, UBNPC Chair/Member, Shared Governance councils. BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS at time of hire and must be issued by the American Heart Association (AHA) BLS must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications Case Management Certification (ACMA, RN-BC, CMSA) Hospital based case management experience Additional Details This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.