Provides psychosocial assessments and crisis intervention, refers patients to resources, facilitates discharge plans and adjustment to illness, and supports complex discharge planning for patients and their families. Formulates discharge plans with patients, families, and the care team based on a needs assessment. Coordinates referrals to home care agencies, skilled nursing and rehabilitation centers, and community-based programs. Coordinates care authorization with insurers and works with the Utilization Management department on details of the patient’s hospitalization to ensure appropriate admission status.
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Job Type
Full-time
Career Level
Mid Level