Care Manager; Part-time

Care Manager (Part-time)

Santiam Hospital & Clinics, located in Stayton, OR 97383, is seeking an experienced and dedicated individual for the Part-time Care Manager role. This position plays a critical role in delivering patient-centered discharge planning and care coordination across the continuum of care.

As a Care Manager, you will partner 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.

Join Santiam Hospital & Clinics, recently honored as 2025's Best Hospital in the Willamette Valley!

Responsibilities include:

• Leading comprehensive, patient-centered discharge planning beginning at admission and continuing through transition of care.
• Identifying high-risk patients early and implementing proactive strategies to support safe discharge planning and reduce adverse outcomes.
• Performing holistic assessments of clinical needs, functional status, support systems, home environment, and social determinants of health (SDOH).
• Developing and managing individualized discharge plans aligned with patient goals, clinical needs, and available resources.
• Coordinating post-acute services and community resources, including home health, skilled nursing, rehabilitation, hospice, and outpatient care.
• Proactively identifying and resolving barriers to discharge, including placement challenges, insurance authorization, equipment needs, and social or financial concerns.
• Supporting informed patient choice by educating patients and families on post-acute care options and available services.
• Facilitating seamless care transitions, ensuring timely communication with post-acute providers, outpatient teams, and community partners.
• Participating in multidisciplinary rounds, providing clear updates on discharge readiness, barriers, and next steps.
• Ensuring accurate, timely, and compliant documentation of assessments, plans, and discharge outcomes.
• Coordinating durable medical equipment (DME), follow-up care, and appointments prior to discharge to promote continuity of care.
• Supporting patient and caregiver education, reinforcing discharge instructions and promoting understanding of care plans.
• Monitoring utilization and length of stay, supporting efficient throughput and appropriate level-of-care decisions.

Qualifications include:

• 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.

Preferred:

• 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.

Benefits for eligible positions include:

• Medical, Vision and Dental Insurance
• PTO and holiday pay
• Employee Referral Program
• 401(k) Retirement
• Life Insurance
• Long Term Disability
• Employee Discounts
• Bilingual Pay Differential for eligible positions
• Public Service Loan Forgiveness for eligible positions
• Tuition Assistance for eligible positions

At Santiam Hospital & Clinics, we pride ourselves on fostering a supportive and inclusive work environment where every team member is valued and empowered to make a difference. Our commitment to excellence in patient care is matched by our dedication to employee growth and well-being. Join us at Santiam Hospital & Clinics, where your skills and compassion will be appreciated, and together, we can make a positive impact on the health and lives of our community.