Welcoming you to Endless Opportunities

Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting.

Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients.

Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients.

Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced.

Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to assure the safe transition of patients across care settings.

In collaboration with the interdisciplinary health care team, ensures regulatory and compliance standards are met.

Perform duties as requested.

Must have Care Management Experience.

High School Diploma or General Education Development (GED) required.

RN license in state of OR required.

BLS required.

COVID Vaccine + Booster dose and FLU shot required.