Primary Focus:
To provide patient-centered care through utilization management, case management, and discharge planning for patients in acute care, extended care, ambulatory care, and emergency department settings.

Key Responsibilities:

1. Patient Assessment and Planning:
   • Collaborate with healthcare teams to assess patients' care needs, focusing on discharge and transition planning.
2. Preventative Care:
   • Identify risks and intervene to prevent unnecessary hospital admissions or readmissions.
3. Discharge Facilitation:
   • Coordinate and execute timely patient transitions/discharges, ensuring continuity of care.
4. Team Collaboration:
   • Serve as a liaison between patients, families, and multidisciplinary healthcare teams.
5. Documentation:
   • Maintain accurate and timely documentation in alignment with care standards and regulatory requirements.

Core Competencies:

• Strong understanding of utilization review processes to optimize care efficiency.
• Expertise in case management strategies, including resource allocation and patient advocacy.
• Proficiency in navigating complex discharge planning scenarios to ensure safe patient transitions.
• Excellent communication skills to work effectively within healthcare teams and with patients/families.