CARE MANAGER

Santiam Hospital & Clinics•Stayton, OR

1d•$33 - $77•Onsite

About The Position

At Santiam Hospital & Clinics, we believe exceptional patient care starts with a supportive and inclusive work environment. We empower every team member by providing access to advanced medical technology and continuous professional development. Join our collaborative culture, where your contributions are valued and your growth is encouraged. We are seeking an experienced and dedicated individual who will step in to the Temporary/ Part-time Care Manager role. As a Care Manager, you will play a critical role in delivering patient-centered discharge planning and care coordination across the continuum of care. This position partners with patients, families, providers, and interdisciplinary teams to ensure safe, timely, and well-coordinated transitions from hospital to post-acute settings, with a strong focus on reducing avoidable readmissions and improving patient outcomes. The ideal candidate will possess strong communication skills, exceptional critical thinking skills, and the ability to make sound decisions to support patients through a successful transition of care. Apply today and bring your expertise to Santiam Hospital & Clinics, recently honored as 2025’s Best Hospital in the Willamette Valley!

Requirements

One of the following: Licensed Registered Nurse (RN) Licensed Practical Nurse (LPN) Master of Social Work (MSW) or Licensed Clinical Social Worker (LCSW)
Experience in care management, discharge planning, case management, or utilization management
Strong understanding of care transitions, post-acute care services, and community resources
Excellent communication, collaboration, and critical thinking skills
Ability to manage multiple priorities in a fast-paced acute care environment

Nice To Haves

Prior experience in acute care case management or hospital-based care coordination
Case Management certification (e.g., CCM, ACM)
Experience working with complex patients, high-risk populations, or social determinants of health barriers
Familiarity with regulatory and accreditation standards related to discharge planning and transitions of care

Responsibilities

Temporary, part-time position (potential to become permanent) leading comprehensive, patient-centered discharge planning beginning at admission and continuing through transition of care.
Identify high-risk patients early and implement proactive strategies to support safe discharge planning and reduce adverse outcomes
Perform holistic assessments of clinical needs, functional status, support systems, home environment, and social determinants of health (SDOH)
Develop and manage individualized discharge plans aligned with patient goals, clinical needs, and available resources
Coordinate post-acute services and community resources, including home health, skilled nursing, rehabilitation, hospice, and outpatient care
Proactively identify and resolve barriers to discharge, including placement challenges, insurance authorization, equipment needs, and social or financial concerns
Support informed patient choice by educating patients and families on post-acute care options and available services
Facilitate seamless care transitions, ensuring timely communication with post-acute providers, outpatient teams, and community partners
Participate in multidisciplinary rounds, providing clear updates on discharge readiness, barriers, and next steps
Ensure accurate, timely, and compliant documentation of assessments, plans, and discharge outcomes
Coordinate durable medical equipment (DME), follow-up care, and appointments prior to discharge to promote continuity of care
Support patient and caregiver education, reinforcing discharge instructions and promoting understanding of care plans
Monitor utilization and length of stay, supporting efficient throughput and appropriate level-of-care decisions