The Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families. They facilitate a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. This role involves assessing for the best resource allocation, advocating for cost containment without jeopardizing patient quality, and coordinating patient and family interventions with the physician, patient, family, other care managers, and staff. The Care Manager develops a treatment plan based on assessment and mutually agreed-upon goals, integrates intervention plans with the interdisciplinary treatment team, and advocates for patient safety and social supports. They evaluate the effectiveness of interventions, revise strategies as necessary, identify barriers in service delivery systems, and advocate for change. Additionally, they collaborate with the interdisciplinary team to enhance care quality and efficiency, ensure chart documentation meets standards, recognize legal responsibilities, and stay current on clinical advancements and community resources.
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Career Level
Mid Level