Registered Nurse- Mental Health Care

Transitions Of Care, RN At AllCare Health
AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.
This position is responsible for coordinating behavioral, medical, social, and dental health care needs for all AllCare Medicaid, Medicare, and Medicare dual eligible members of all ages during transitions from one health care setting to another, or from home, to or from, a healthcare setting; this includes members with terminal conditions requiring goals of care and advance care planning support, and members planning a future surgery occurrence by performing the following duties.
Assess, plans, implements, coordinates and requests services required to meet member health care needs.

• Interacts with the member, family, caregiver, and involved healthcare professionals when Goals of Care cases are determined to exist with the purpose of advocating for member decision making and providing adequate education to support member in understanding which choices are available to them, including periodic re-evaluation of individual and family nursing needs for participants who have a terminal diagnosis and a prognosis of 6 months or less.
• Coordinates with receiving facility for planned transitions from any setting to any other setting, or unplanned transitions, such as an emergency department visit leading to a hospital admission.
• Acts as an advocate and facilitates collaboration with the interdisciplinary care team (ICT) in order to assist members to develop a knowledge base that will allow self-reliance in coping with chronic illnesses
• Conducts thorough planning to determine and document specific objectives, goals, and actions to meet the member's identified needs, including re-evaluation of the individualized care plan (ICP).

Serves as subject matter expert in care coordination and case management interpreting regulatory requirements and coordinates the process to support those requirements.
Understands and has working knowledge of the regulatory requirements from CMS and OHA regarding the frequency of member interactions during transitions.
Develops a comprehensive case management plan based on initial assessment and adjusts as necessary.
Implements plans by executing and documenting specific interventions, activities and/or tasks that will lead to accomplishing the established goals.
Organizes, establishes, integrates, updates, modifies and documents the resources necessary to accomplish the goals established in the care management plan.
Clinical Supervision

This position provides clinical supervision for assigned clinical personnel and other support staff.
Supervision needs will be evaluated based on clinical experience and performance and may be weekly but not less than bi-weekly.
May require the use of personal vehicle for local travel (subject to mileage reimbursement).

Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
All health care providers who are HIPAA covered entities, whether individuals or organizations, must obtain an NPI number. Under HIPAA, you're a covered health care provider if you electronically transmit health information in connection with a HIPAA standard transaction, even if you use a business associate to do so. AllCare Health employs staff that are defined under OHA or CMS as health care providers. Positions that are defined as providers include, but are not limited to, Doctors, Nurse Practitioners, Physical Therapists, Traditional Health Workers, and Certified or Qualified Healthcare Interpreters.
Associates or Bachelor's degree from an accredited university in nursing.
Knowledge of behavioral health and psychiatric disability issues, psychological and neuropsychological issues, substance abuse, addiction, wellness and illness prevention, multicultural issues, chronic illness and disability aspects, spirituality as it relates to their health, complementary alternative medicine management, and members in various stages of crisis is preferred.
At least two years of experience in case management, disease management, managed care, or homecare coordination.
Knowledge of appropriate referrals to QI Committee, Corporate Compliance, Fraud and Abuse, Appeals and Grievances.
Certificates, Licenses and/or Registrations

Valid Oregon Registered Nurse (RN) licensure.
Completes the National Provider Identifier (NPI) registration within the first 30 days of hire.
Current Mental Health First Aid Certification or willingness to be certified within 90 days of hire.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively before groups of customers or employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Computer Skills
Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, word processing, presentation creation/editing, communicate by e-mail and use scheduling software.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Effectively and professionally communicates with team members and customers.
Collaborates with teammates to provide professional service to customers.
Self-resolves most conflicts or misunderstandings with minimal need for direct supervision.
Applies patience and listening skills to respond appropriately and interact positively with upset customers.
Creates a pleasant experience for all customers, such as being personable and attentive.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained.
The employee must be able to work onsite for all scheduled shifts, occasionally, frequently, as needed.
The employee must be able to travel locally, as needed.