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Santiam Hospital & Clinics is a drug-free workplace in accordance with the Drug-Free Workplace Act of 1988 and an EEO Affirmative Action Race/Sex/Sexual Orientation/Gender Identity/National Origin/Veteran/Disability Employer.

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Job Description

Santiam Hospital is looking for you to join the Santiam Hospital health care team of innovative leaders located in the heart of Oregon’s Mid-Willamette Valley. We are currently seeking a full-time Care Manager to join our Inpatient Care Management team. Excellent career opportunities and a supportive work environment will allow you to grow in your career and to fully enjoy your passion.

Job Responsibilities

  • Identifies patients for teaching, discharge, and extended care facility needs.
  • Collaborates with physicians, caregivers, patient, family, other departmental team members, and payor to proactively develop and implement a safe and appropriate discharge plan.
  • Participates in team meetings that foster interdepartmental collaboration with the patient and their family as deemed necessary, this includes multidisciplinary meetings and Utilization Review/Case Management meetings. Provides input in such meetings regarding utilization management and discharge planning.
  • Applies utilization review criteria to assess and document the appropriateness of admission, continued stay, level of care, and readiness for discharge; refers cases that do not meet criteria to Care Management Supervisor, Medical Staff and/or Utilization Review Specialist.
  • Maintains working knowledge of Medicare, Medicaid and private insurance company coverage for referred products and services.
  • Communicate daily with Multidisciplinary Team regarding admissions and discharges to various facilities.
  • Knowledgeable of patient’s financial status, diagnosis and discharge needs and documents these as an ongoing review.
  • Assist as needed with obtaining referrals, prior authorization for Home Health Care, DME, SNF, acute rehab and appointments.
  • Maintains a current list of resources for referrals and refers to the appropriate inpatient, outpatient and community resources.
  • Participate in and complete discharge assessments, complete follow up phone calls in a timely manner and provide referrals/ data according to the patient’s needs.

Job Qualifications

  • 3-5 years discharge planning or inpatient care management experience preferred.
  • Knowledge of Utilization management principles, Swing Bed, home health care, skilled nursing facilities/long term care and durable medical equipment is highly desirable.
  • Current unencumbered nursing license, (RN or LPN), to practice in the State of Oregon
  • Current BLS

Job Benefits

  • Medical/Vision/Dental Insurance with coverage effective on the 1st of the next month following start date.
  • Employee Assistance Program
  • Employee Discounts at the Cafeteria, On-site Pharmacy, Gift Shop, and Medical Care.
  • Generous Paid Time Off (PTO)
  • Annual PTO Cash-Out Program
  • Hospital Incentive Program
  • Bilingual Pay Differential Program
  • Employee Referral Bonus Program
  • 401(k) Retirement Plan
  • Life Insurance
  • Long Term Disability Insurance

Santiam Hospital & Clinics complies with MGMA on Section 1557 – Notice of non-discrimination and language services.

For questions about this career posting, or others here at Santiam Hospital, please contact our Human Resources Department:
Erika Jones
(503) 769-9304 ext. 1304

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