Registered Nurse Case Manager

As the RN Case Manager you will oversee all medical support services for each person living in the Medical Model (24/7 LPN staffed) home and for people requiring nursing intervention/monitoring in non-medical model homes based on RN Assessment and Nursing Care Plan, including training non-licensed staff for anticipated emergencies and delegation of nursing tasks as per OSBN rules, medication management and medical records. This process involves assessing the competency of non-licensed staff, providing comprehensive training on emergency protocols, and clearly outlining responsibilities for tasks such as but not limited to tube feedings/medication administrations, wound care, and vital sign monitoring. Regular supervision and ongoing evaluation are also critical to ensure that all delegated tasks are performed safely, effectively, and in accordance with professional nursing standards. Additionally, the role includes managing and ensuring that delegated tasks are carried out in a timely manner, with a focus on quality care and regulatory adherence.

Essential Duties

Complete RN Assessment, develop and implement an individualized Nursing Care Plan (NCP) based on assessment, including level of care to be provided (holistic or limited).
Ensure RN Assessment and NCP are updated annually prior to the persons ISP and as needed for changes in medical needs/care.
Monitor and evaluate medical needs and interventions based on the NCP (for example; monthly reviews of NCP).
Take part in ISP pre-meeting and develop support documents based in the Risk Identification Tool and RN Assessment and NCP.
Train licensed and non-licensed staff on NCP, medical protocols and procedures.
Train non-licensed staff on tasks for anticipated emergency and/or delegate non-licensed staff on tasks of nursing care as per OSBN rules.
Monitor staff performance and maintain RN delegations as appropriate within required timelines as per OSBN rules.
Work with Program Manager to observe new staff and document medical competencies.
Ensure overall medical needs of people served are met. Ensure medical appointments are completed, develop medical monitoring for each person based on their medical needs and ensure monitoring tools are provided to physicians to support the persons care.
Review documentation by licensed and non-licensed staff, follow up on medical issues, complete medical documentation, facilitate implementation of physicians orders.
Advocate for the health and welfare of the people we support, with families, staff, ISP teams and providers.
Serve as a liaison between people we support, their families, ISP teams and healthcare providers. Attend medical appointments as per nursing judgement and/or as requested by program management.
Monitor the health status, advocate and communicate with healthcare providers on a routine basis while the people we support are in healthcare facilities (hospitals, etc.).
Work with program manager to explore and develop resources to meet medical needs, i.e. durable medical equipment.
Participate in staff meetings providing medical updates.
Review medically related Incident Reports and work with program managers to ensure medically related support documents are updated and/or re-trained to staff as needed.
Other duties as assigned/needed.

Benefits

Paid medical, dental, and vision employee benefits
Paid basic life & accident insurance and short- & long-term disability
Paid internal training and career development
Funds available for external training opportunities
Albertina Kerr pays for Oregon Nursing License and CPR/BLS training
Paid holidays and generous time off
401(k) retirement savings plan with up to 4% employer match.
24-hour Employee Assistance Plan (EAP) that provides resources for everything from mental health to pet insurance and financial counselling
Licensed to practice as a Registered Nurse in the State of Oregon.
One-year experience in medical/surgical nursing.
Ability to work with multi-disciplinary team of developmental disabilities, healthcare and mental health professionals.
One-year of nursing experience working with individuals with developmental disabilities or a related field.
Possess knowledge of the Oregon Administrative Rules required by the Department of Human Resources, OSBN rules regarding delegation of nursing tasks of care and training for anticipated emergency, Mental Health and Developmental Disability Services Division.
Must possess basic reading, writing, and mathematical skills necessary to complete or utilize the records and forms required of this position.
Ability to meet the following physical demands:
Intermittent periods of standing and sitting, with frequent periods of walking short distances within the facility.
Frequent periods of bending from the waist and knees; frequent periods of reaching from waist to shoulder levels.
Moderate periods of lifting a maximum weight of approximately 50 pounds. Occasional periods of lifting in excess of 50 lbs. Moderate periods of pushing or pulling in excess of 50 pounds.
Infrequent periods of twisting from side to side at the waist.