Job Title

Job Description

Duties include but are not limited to:

• Demonstrates clinical knowledge in assessing, planning, implementing documenting and evaluating care for a designated group of patients across the continuum of care.
• Triage and apply a collaborative team approach in identifying, analyzing and resolving patient care problems.
• Collaborates with patients to assess and identify needs, issues, care goals and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness.
• Maintains current knowledge of multidisciplinary resources, programs and services, referring patients for community resources as appropriate.
• Utilizes problem-solving methodologies and advances clinical knowledge to resolve system and/or processes that impact patient care.
• Assists with navigation of health systems and intervenes or refers as needed to facilita...