**Req Number** 190297

Job Description

Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient.

Job Responsibility

+ * Facilitates patient management throughout hospitalization.
+ Participates in patient management rounds and patient centered meetings.
+ Identifies potential delays and resolves issues with appropriate departments.
+ Identifies appropriate utilization of Social Work Services and makes referrals when appropriate.
+ Confers with physician regarding referrals for Physical Therapy, nutrition, speech and swallow.
+ * Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
+ Serves as a resource to t...