Case Worker Non-Certified

The Clinic Case Worker coordinates services that support patient satisfaction, high-quality care, and cost-effective health outcomes. This position promotes the physical, psychosocial, and vocational well-being of patients by ensuring care is delivered in the most appropriate setting. The Clinic Case Worker proactively monitors patient registries to identify and coordinate healthcare needs and works closely with clinic patient care teams. **Qualifications** : * ** ** Graduate of an accredited school of nursing; BSN preferred * Current RN license in Oregon without restriction * BLS certification required * Experience in case management and patient empanelment, preferred. **Primary Duties and Responsibilities:** * ** ** Serve as a communication liaison between patients, families, and the care team--relaying messages, gathering clinical and social information, and supporting patient-provider interactions. * Proactively monitor patient registries to identify care needs, coordinate preventive and follow-up services, and ensure accurate data entry and tracking for reporting and outcomes. * Coordinate care for patients with complex medical and psychosocial needs, including discharge planning, chronic disease management, and connections to community resources. * Work collaboratively with primary care providers and interdisciplinary team members to develop and implement individualized care plans that support optimal health outcomes. * Identify and help resolve social service issues affecting care delivery in both outpatient and hospital settings, acting as a patient advocate and resource connector. * Maintain comprehensive and up-to-date documentation of care coordination activities, including registry updates, case notes, and performance metrics. * Demonstrate knowledge of patient-centered care program requirements and assist with required reporting, including data gathering and outcome evaluation. * Support chronic disease management efforts for conditions such as diabetes, asthma, CHF, and depression, using a population health model and registry data. * Coordinate with pharmacies, insurers, and external healthcare providers to ensure timely and accurate exchange of patient information and continuity of care. * Uphold legal, ethical, and professional standards related to patient privacy, consent, benefits, and care advocacy while maintaining a respectful, patient-centered approach. **Skills and Abilities:** * Excellent verbal and written communication for interacting with patients, families, providers, and coworkers. * Ability to identify problems and find effective solutions. * Ability to remain calm and focused in urgent or stressful situations. * Ability to advocate for patients by working with insurance and other parties to secure necessary care. * Skilled in educating patients about their care and treatment options. * Strong ability to multitask and manage time effectively in a busy clinic environment. * Competent in using electronic health record (EHR) systems for documentation and ordering. **Physical Demands and Work Environment:** * Frequently required to stand, walk, bend, and reach. * Requires the ability to lift, move, or assist patients and equipment weighing up to 25 pounds. * May be required to assist or move patients of all weight ranges in a safe manner. * Prolonged periods of standing and/or sitting, depending on shift and clinic needs. * Occasional exposure to blood, body fluids or tissue, communicable diseases, chemicals, including but not limited to sticks or cuts by needles and other sharp items. Employee eligible for Hepatitis B Vaccination if desired. * Must be able to perform the primary duties and responsibilities of the job with or without reasonable accommodation. **Mission** : Grande Ronde Hospital and Clinics will ensure access to high quality, cost-effective health care in a safe and customer-friendly environment for all those in need of our services. **Vision** : Quality health care is our mission. Patients are our passion. **Values** : Creativity, Compassion, Collaboration, Credibility ** ****Compensation:** $42.64-$58.78 Per Hour DOE **Benefits** * Health Insurance * Vision Insurance * Dental Insurance * Flexible Spending Account (FSA and Health Savings Account (HSA) Options * 401K Plan with Roth Options * 401K 3% employer match and a 2% base non-elective employer contribution * Eligibility for company-paid benefits such as life insurance and long-term disability, subject to applicable waiting periods * Option to elect Supplemental employee, spouse, and child life insurance * Paid Time Off (PTO) * Access to the Employee Assistance Program * Discounts: available for meals in the cafeteria and over-the-counter pharmacy items * Exercise/Fitness Facility: access to the Rehab Therapy Fitness Center for the employee and dependents