GENERAL SUMMARY: Responsibilities: Creates plan for care across the continuum, integrating patient/family preferences and values. Monitors patient medical necessity and level of care through assessments, ongoing evaluations and/or patient records. Advocates for resources and removal of barriers. Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of health plan. Acts 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.
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Industry
Hospitals
Education Level
Associate degree
Number of Employees
5,001-10,000 employees