Case Manager
Conduct and document detailed psycho-social assessments to interpret the social, environmental, and medical needs of the patient. Serves as a liaison with the community resources and their staff to facilitate smooth transition and placement of patients. Provides or supervises plan of care interventions to include resource and referral assistance, crisis intervention, prevention, education, patient advocacy, bereavement, therapy, and counseling as appropriate. Collaborates with the healthcare team and involves the patient and family in the development and implementation of plans