RN-Care Management and Services

The Care Manager also identifies and assesses patients and families with possible social, psychological and/or environmental needs related to the impact of utilization patterns of care. The Care Manager is also responsible for developing plans for intervention addressing agreed upon priorities, synchronizing supportive services and assisting patients/families in improving or restoring their capacity for social functioning. The patient and family-centric approach to care will be central in the universal care plan development and communication across the care settings. The care manager will be instrumental in identification of patient- driven goals. Specific roles within the Acute Care Setting would include, but are not limited to:- Pro-active discharge planning- Review of...