Description
:
GENERAL OVERVIEW:
Coordinates patient progress toward achieving quality and cost outcomes; mobilizes resources and manages the system in response to current variances according to pre-established standards.
ESSENTIAL RESPONSIBILITIES:
Responsible for the coordination and completion of post-discharge needs for patients requiring home care or extended care facility services. (40%)Communicates and collaborates with physicians, patients, and outside agencies in the development of the discharge plan in conjunction with the Care Management and Social Work teams for a safe and timely discharge. (40%)Communicates and collaborates with physicians and multi-disciplinary team to ensure appropriate management of resources and to attain patient and individualized goals in an appropriate and timely manner, and in the appropriate setting. (10%)Facilitates group process related to psychosocial skill development. (10%)<...