The Care Management Department provides several major support services:
RN Care Management services ensure a coordinated approach among the various disciplines in determining appropriateness of admission and continuing stay in the hospital and planning for transition to various levels of care in the hospital, community and home. These activities include utilization review, resource management and discharge planning.
Social Work services have an emphasis on patient and family support, including crisis intervention, counseling/support systems, abuse/neglect assessment and intervention, emotional and behavioral support, end-of-life needs and community referrals.
Care Management Specialists focus on evidence-based clinical best practices including clinical pathways, evaluate clinical and financial outcomes, and work with physician champions and nursing division leaders and staff in dealing with complex care processes and any barriers to efficient and effective care. The department is involved in various issues associated with capacity management, including the role of the bed flow manager, assuring proper placement of patients throughout the Medical Center.
Conducts psychosocial evaluations of patients/families and significant others including, but not limited to the following: adjustment to medical or health condition; care coordination; mental health status; adjustment/compliance to treatment process; substance usage; child and elder abuse/neglect assessments; domestic violence issues; cognitive status (including potential guardian issues); and patient/family resources.
Provides crisis intervention and supportive short term counseling to patients/families and significant others as necessary to meet immediate psycho-social needs including, but not limited to: Trauma/Emergency Department/ On Call/ Family Notification, CODE Response (family intervention); unanticipated change in health conditions/suicidal ideation; teenage pregnancy; single parent pregnancy/parenthood, domestic violence, child and elder abuse/neglect.
Provides grief/loss counseling and education regarding: fetal demise; actual/pending death of patient//family member; complicated pregnancies; postpartum depression; chronic/acute stress associated with life circumstances; divorce/separation; loss of independence associated with illness or disability.
Provides brief psychotherapy including: individual short term psychotherapy; group work including information/support groups, family support, patient therapy); regarding but not limited to issues of adoption, abortion , domestic violence, family of origin, sexual/gender, substance abuse, parenting, relationship adjustment to disabilities and chronic or acute illness.
Provides patient advocacy and associated services to patient/family and other involved agencies/parties regarding decision-making; advance directives; ethics consultations; court holds; guardianship/conservatorship; citizenship cases; and social cultural factors.
Assess patient/family support needs regarding: transportation, housing, clothing and educational/patient vocational rehabilitation and training materials and refer to appropriate resources.
Maintains accurate and timely documentation of patient care activities an efficent manner per departmental policies.
Participates in Department of Care
Management and assigned service meetings, in services and conferences, as indicated including Complex Patient Interdisciplinary Rounds.
Provides support to patient care staff following traumatic events through individual or group consultation.
Reviews literature on pertinent patient care/Social Work service issues and conducts in services regarding psycho social patient care issues and Social Work services.
Meets in regularly scheduled supervisory sessions.
Participates in patient rounds as appropriate. Complete all OHSU/JCAHO mandatory education requirements and activities within established time lines.
Yearly competencies as identified by department
Masters of Social Work
Able to implement assessments, short term counseling, crisis intervention, advocacy.
Excellent task prioritization, time management, and communication skills.
CSWA or LCSW in Oregon
New grads must be eligible for the CSWA at time an offer is extended, and have CSWA status by the time they start in the job
Code of conduct
Respect in the workplace
Applicable policies, procedures and agreements related to position, department or OHSU as a whole
Must be able to perform the essential functions of the position with or without accommodation
Previous hospital experience
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or firstname.lastname@example.org.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm