Care Manager

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