Nurse Case Manager

March 9, 2016

Siskiyou Community Health Center is looking for a Nurse Case Manager to join our dynamic Primary Care Medical Clinic in Grants Pass. The Nurse Case Manager provides clinical case management services under the direction of the Chief Medical Officer aimed at enhancing patient-centered care and maximizing outcomes across the patient care continuum. Case management services include patient advocacy, monitoring patient care to ensure progress toward desired outcome, addressing patient and family needs and resolving obstacles to effective care, implementing disease modifying interventions and facilitating care coordination during transition of care.

  • Coordinates case management process from patient’s entry into the healthcare system to specialty care to hospital admission to follow-up care.
  • Coordinates care and resources with the healthcare team to achieve optimal patient outcomes.
  • Capable of assessment of physical functioning; awareness of legal aspects/responsibilities of case management and medical ethics.
  • Comprehends medical aspects of both acute and chronic illness and disability. Can define goals and objectives of case management.
  • Identifies patients who are suitable for case management intervention based on criteria established by Diabetes and CHF protocols.
  • Assesses needs of patient/family; coordinates care and resources. Plans, develops and implements appropriate patient care goals.
  • Coordinates patient’s access to specialty care, medical equipment, medication and other medically necessary services and products as necessary.
  • Familiar with community support services and resources, to include public service/benefit programs, patient assistive technology, long term restorative care services and specialty care.
  • Current knowledge of relationships among medical, psychological and behavioral components of illness/injury and an understanding of the impact they have on health and well-being.
  • Implementation of established Diabetes and CHF protocols including patient education and care continuation.
  • Understands impact of family dynamics, cultural influences, psychosocial issues, substance abuse issues and mental health or general health.
  • Demonstrates an understanding of different service delivery models such as wellness/prevention care strategies, practice guidelines, standards of car, managed care plans, health care legislation, utilization and risk management.
  • Develops strategies for maximum patient benefit.

The successful candidate will have the
1. Current, unencumbered Oregon Registered Nurse license with a minimum of two (2) years’ experience, preferably in a community health clinic.
2. Current BLS certification.
3. ACLS certification required or ability to obtain certification within six (6) months of hire.
4. Proof of current unrestricted Driver’s License, automobile insurance and a safe driving record.
5. The ability to handle sensitive situations and stress effectively, projecting a professional attitude.
6. Ability to consistently exercise independent discretion and judgment, but maintain a willingness to seek assistance and/or advice when needed.

To apply, please submit an internal application along with your resume to