Discharge & Care Transitions Manager

Santiam-Hospital-; Stayton (OR); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

PTO & holidays

Tuition assistance

Job summary

Santiam Hospital & Clinics seeks an experienced Care Manager to lead patient-centered discharge planning from admission through transition of care. You will identify high-risk patients, coordinate post-acute services, and collaborate with multidisciplinary teams to ensure safe, timely transitions and reduced readmissions.

The ideal candidate will have strong communication, critical thinking, and decision-making skills, with experience in care transitions and community resources.

Qualifications

• RN or LPN or MSW/LCSW required.
• Experience in care management, discharge planning, case management, or utilization management.
• Strong understanding of care transitions and post-acute care services.
• Excellent communication, collaboration, and critical thinking skills.

Responsibilities

• Lead comprehensive, patient-centered discharge planning from admission through transition of care.
• Identify high-risk patients early and implement proactive discharge strategies.
• Coordinate post-acute services and community resources including home health, SNF, rehab, hospice, and outpatient care.
• Educate patients and families on post-acute options and facilitate seamless transitions.

Skills

Communication skills

Critical thinking

Prioritization

Team collaboration

Care transitions

Education

RN

LPN

MSW/LCSW

Job description

Santiam Hospital & Clinics seeks an experienced Care Manager to lead patient-centered discharge planning from admission through transition of care. You will identify high-risk patients, coordinate post-acute services, and collaborate with multidisciplinary teams to ensure safe, timely transitions and reduced readmissions.

The ideal candidate will have strong communication, critical thinking, and decision-making skills, with experience in care transitions and community resources.