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TEEMA Group

RN Case Manager - Home Health

hermiston, OR

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Job description

Schedule: Monday–Friday | 8:00 AM – 4:30 PM

Overview

We are seeking a compassionate and highly organized Case Manager to join our team and play a critical role in coordinating patient care across the continuum. In this role, you will partner with patients, families, and an interdisciplinary healthcare team to ensure safe, efficient, and high-quality care from admission through discharge and beyond.

This is an ideal opportunity for a clinician who thrives in a collaborative environment, enjoys problem-solving, and is passionate about advocating for patients and improving outcomes.

What You’ll Do

Conduct comprehensive patient assessments, including clinical, psychosocial, functional, and financial needs

Develop and manage individualized care plans in collaboration with physicians, nurses, therapists, and social services

Coordinate transitions of care (hospital to home, rehab, or long-term care) to ensure continuity and safety

Partner with insurance providers to secure authorizations and ensure appropriate utilization of services

Identify and remove barriers to discharge, including social, financial, and logistical challenges

Serve as a patient advocate, ensuring needs and preferences are represented in care decisions

Educate patients and families on diagnoses, treatment plans, and post-discharge care

Connect patients with community resources, support services, and post-acute providers

Facilitate referrals to specialized services such as housing, behavioral health, and legal resources

Monitor patient progress, adjust care plans, and track outcomes and quality metrics

Maintain accurate, timely documentation of assessments, interventions, and care plans

Participate in interdisciplinary rounds and care conferences

What You Bring

Required:

Active Oregon RN License or degree in Social Work, Nursing, or related healthcare field

Clinical experience in acute care or home health

Strong care coordination, discharge planning, or patient assessment experience

Excellent communication and collaboration skills

Preferred:

BSN or MSN

Case Management Certification (CCM or equivalent)

Experience with discharge planning or case management

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Worksite address

hermiston, OR, 97838, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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