Coordinate the overall interdisciplinary plan of care for patients from admission to discharge for the Case Management department. Create plan for care across the continuum. Integrate patient/family preferences and values. Advocate for resources and removal of barriers for the patient. Monitor patients' medical necessity and level of care through assessments, ongoing evaluations and/or patient records. Maintain ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of care plan. Serve as a resource for adequate medical record documentation, level of care recommendations, and services as they relate to diagnoses and treatment options for post-discharge care. Act as a liaison between patient and post acute services. Collaborate with payers for benefit optimization. Advocate for effective and efficient utilization of clinical resources.
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Job Type
Part-time
Career Level
Mid Level
Education Level
Associate degree