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Diabetes Mellitus Case Management Nurse Salem, OR

The RN Case Manager functions in a self-directed role with a high degree of autonomy in an expanded clinical role guiding appropriate use of resources for a variety of chronic conditions. RN Case Management Services will have accountability for a designated population defined in conjunction with the clinicians in the medical home, and assists the organization in meeting regulatory service and care needs for these populations. The RN Case Manager works collaboratively as a member of the health care team to deliver high quality health care to patients supporting Kaiser Permanente's mission, vision and values. The RN Case Manager provides a variety of nursing services both in person, by phone and via electronic media utilizing nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor and may function in multiple settings within the system, the community and home to provide support for a high risk population.

Essential Functions:
- Provide care coordination and management services for members with identified needs:
- Creatively using available and appropriate resources, including KP staff and providers,to support the unique needs of each member;
- Facilitating access to internal and external services;
- Monitoring the effectiveness of the interventions; and
- Reinforcing the treatment plan through life-style, diet and medication adherence including support for Chronic Condition therapies and Opiate Therapy Plan adherence; and
- Advising and coaching patients and families;
- Succinctly document interventions in KP HealthConnect as needed by other providers to ensure coordination of care and services.
- Assists with management of diabetes patients on insulin and oral medications using protocol guidelines while achieving self management goals.
- Provide patient education as needed both in the clinic and over the phone.
- Operate and instruct use of glucose monitors and appropriate diagnostic devices.
- Ability to interpret data from diagnostic devices.
- Ability to identify and manage hypoglycemic events.
- Entrust in basic carbohydrate counting, diet modification and exercise plans.
- Act as a mentor to new staff and assist with orientation/staff development needs.
- Ability to coordinate between multiple disciplines.


Qualifications:

Basic Qualifications:
- Graduate of Accredited School of Nursing
- Nurse with current Oregon or Washington license in nursing
- Bachelor of Science in nursing or equivalent Nursing experience (Minimum of 6 years), with the priority given to case management &/or care coordination
- Eligible for CDE within 6 months of hire (Eligibility defined as 18 months as a Diabetic Educator, with an additional 6 months for application submission)
- Knowledge of case management principles
- Demonstrates clinical nursing and leadership skills
- Ability to work independently in an unstructured environment with minimal supervision
- Able to type 20 words per minute
- Demonstrates effective interpersonal, communication and problem-solving skills
- Willingness to learn computerized information systems
- Demonstrates ability to work within teams and within a dynamic work environment
- Demonstrates customer-focused service skills
- Knowledge of community resources for the care of the elderly, and patients with chronic conditions
- 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
- Effective 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
- Minimum of 6 years of experience in acute care or ambulatory care/clinic/extended setting within the last 8 years
- Current RN license in Oregon and Washington
- Requires Oregon or Washington license at time of hire
- Licenses in both states are required within 6 months of hire
- Current BLS w/AED certification
- Valid driver's license
- Understanding of the Endocrine system including DM pathophysiology and complications including treatment of emergent situations
- Knowledge of all types of insulin, their course of action and use
- Working knowledge of current diabetic tools being utilized by the diabetic population

Preferred Qualifications:
- Current or future bachelor's degree in nursing or related field
- Previous experience with population care/case management, triage and advice
- Certified Case Manager
- Prefer a minimum of 2 years of experience in case management, care coordination, or population care
- Quality management methodology and utilization management experience
- Certified Diabetes Educator (CDE)
- Previous experience with telephonic patient assessment skills, experience working from standardized policies & procedures
- Experience in case management of patients with Diabetes Mellitus
- Microsoft Word, Excel & HC experience

Salary Range:
$32.45 - $46.67

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