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This role involves developing, implementing, and evaluating patient care plans across the health continuum, collaborating with providers, teams, and external partners to advocate for patients and caregivers.
• Conducts comprehensive assessments addressing clinical, social, and economic factors impacting health management.
• Identifies barriers, risks, and resource needs to ensure safe transitions and care coordination.
• Coordinates clinical care, communicates effectively with interdisciplinary teams, providers, payers, and post-acute partners.
• Educates patients, families, and providers on care practices, documentation, resource utilization, and transition planning.
• Maintains professional development and adheres to institutional policies, with required licensure and certifications.
Date Posted: 28 April 2025
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