Hospice RN Case Manager Interim HealthCareHospice RN Case ManagerIndianapolis, IN$80,000–$87,000To qualify for a Hospice Registered Nurse Case Manager (RN) with us, you will need: Education: Associate degree in Nursing (ADN) or Associate of Applied Science in Nursing (AAS) required; Bachelor of Science in Nursing (BSN) preferred . As a Hospice Registered Nurse Case Manager (RN), you will: Oversee the implementation and ongoing assessment of the patient's plan of care alongside the spiritual care coordinator, social worker, hospice aide and medical director .
RN Case Manager - Sign-on Bonus - $7,500 Interim HealthCareRN Case Manager - Sign-on Bonus - $7,500Greenwood, INWe take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. *One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.
NewNurse Case Manager - Relocate to Urbana IL Cunningham Children's HomeNurse Case Manager - Relocate to Urbana ILIndianapolis, INLocated in Urbana, IL, Cunningham Children's Home is a non-profit agency dedicated to offering support to youth and families, and are committed to the values of spirituality, teamwork, integrity, and respectif those align with what youre looking for in an employer, we encourage you to apply to be a part of our Health Services Team! Founded in 1895, Cunningham Childrens Home is a leading child welfare and educational services agency, supporting more than 977 youth and families each year through residential treatment, special education, and community-based programs.
NewTravel Nurse RN - Case Manager in Indianapolis, IN SkyBridge HealthcareTravel Nurse RN - Case Manager in Indianapolis, INIndianapolis, IN$44.55–$52.65 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager - $1,983 per week in Indianapolis, IN Lancesoft IncTravel Nurse RN - Case Manager - $1,983 per week in Indianapolis, INIndianapolis, IN$1,982.88We are currently seeking qualified candidates for RN . Shift 5x8 Days, 08:00:00-16:00:00, 8.00-5.
NewNurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsShelbyville, INAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation.
NewNurse Practitioner - Full Time State Traveler - Sign-on Bonus! Matrix Medical NetworkNurse Practitioner - Full Time State Traveler - Sign-on Bonus!Carmel, INAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Our providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols.
NewNurse Practitioner- PRN Matrix Medical NetworkNurse Practitioner- PRNMartinsville, INAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation.
NewNurse Practitioner - Full Time Matrix Medical NetworkNurse Practitioner - Full TimeCarmel, INAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Our providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols.
NewNurse Practitioner - Full Time State Traveler Matrix Medical NetworkNurse Practitioner - Full Time State TravelerIndianapolis, INAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation.
NewNurse Practitioner - Full Time - Sign-on Bonus! Matrix Medical NetworkNurse Practitioner - Full Time - Sign-on Bonus!Indianapolis, INAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Our providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols.
NewFull- or Part-Time Nurse Practitioner - Adult Primary Care Matrix Medical NetworkFull- or Part-Time Nurse Practitioner - Adult Primary CareIndianapolis, INAANP, AACN, or ANCC board certification in Adult, Adult Gerontology Primary Care, Adult Gerontology Acute Care, Family, Emergency, or Acute Care specialty ~ 1 year of NP experience preferred, new grads encouraged to apply! ~ Able to travel up to 15% of the time (including overnight travel) to additional locations as needed ~ Strong computer skills and familiarity with employee health/medical record software Diversity & Inclusion – The potential of our company is based on the diversity of experiences and backgrounds of everyone who works at Matrix.
NewField Based Clinical Care Coordinator - Shelby, Hancock County, IN UnitedHealth GroupField Based Clinical Care Coordinator - Shelby, Hancock County, INGreenfield, IN$29–$52 / hourDevelop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/services aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are. Provide referrals and linkage as appropriate and accepted by members (may include internal consulting opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.).
NewField Based Clinical Care Coordinator - Marion, Hamilton County, IN UnitedHealth GroupField Based Clinical Care Coordinator - Marion, Hamilton County, INFishers, IN$29–$52 / hourDevelop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/services aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are. Provide referrals and linkage as appropriate and accepted by members (may include internal consulting opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.).
NewField Based Clinical Care Coordinator - Madison and Henry County, IN UnitedHealth GroupField Based Clinical Care Coordinator - Madison and Henry County, INAnderson, IN$29–$52 / hourDevelop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/services aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are. Provide referrals and linkage as appropriate and accepted by members (may include internal consulting opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.).
NewField Based Clinical Care Coordinator - Morgan, Monroe County, IN UnitedHealth GroupField Based Clinical Care Coordinator - Morgan, Monroe County, INMartinsville, IN$29–$52 / hourDevelop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/services aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are. Provide referrals and linkage as appropriate and accepted by members (may include internal consulting opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.).
NewField Based Clinical Care Coordinator - Delaware, Madison County, IN UnitedHealth GroupField Based Clinical Care Coordinator - Delaware, Madison County, INAnderson, IN$29–$52 / hourDevelop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/services aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are. Provide referrals and linkage as appropriate and accepted by members (may include internal consulting opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.).
NewPaid Surrogacy Opportunity (Gestational Carrier) The Genesis GroupPaid Surrogacy Opportunity (Gestational Carrier)Zionsville, IN$60,000–$100,000 / yearWe coordinate in-state, out-of-state, and international fertility journeys, and we take pride in providing industry-leading care built around your personal needs, ethics, and expectations. If you’ve previously had a healthy pregnancy, you may qualify to help intended parents grow their family via IVF and receive $60,000-$100,000+ in compensation per journey.
NewSurrogates Needed - $60K-$100K+ Compensation and Expert Care The Genesis GroupSurrogates Needed - $60K-$100K+ Compensation and Expert CareNoblesville, IN$60,000–$100,000 / yearWe coordinate in-state, out-of-state, and international fertility journeys, and we take pride in providing industry-leading care built around your personal needs, ethics, and expectations. If you’ve previously had a healthy pregnancy, you may qualify to help intended parents grow their family via IVF and receive $60,000-$100,000+ in compensation per journey.
Social Work Case Manager Elevance Health IncSocial Work Case ManagerIndianapolis, INHow you will make an Impact: Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
SOCIAL WORK CASE MANAGER- LICENSED (50080184) Health and Hospital CorporationSOCIAL WORK CASE MANAGER- LICENSED (50080184)Indianapolis, INResponsible for providing a continuum of social work services in an assigned work setting that will assist patients/clients and their families find practical ways of resolving social, emotional and environmental problems that interfere with optimum functioning and attainment of total health. Provides therapeutic social work intervention to diverse client system which may include but not limited to crisis intervention, community resource referrals, client advocacy, support, outreach, follow-up, education, and intra/inter agency consultation.
NewCase Manager Firefly Children & Family AllianceCase ManagerIndianapolis, IN$46,600Firefly Children & Family Alliance is looking for a full-time Home-based Case Manager in Indianapolis, Indiana. Prepare written reports for the Department of Child Services / Probation office within identified timeframes.
Nurse Case Manager American Technology ConsultingNurse Case ManagerIndianapolis, IndianaExtensive knowledge of state laws, policies and procedures pertinent to the Medicaid programs • Knowledge of care coordination and case management (prior experience preferred) Supervisory Responsibilities/Direct Reports: None Difficulty of Work: Work is complex in nature and involves the integration of diverse programs and policies among numerous federal and state agencies as well as a thorough understanding of legal, political, social justice, child welfare, medical and behavioral health parity and equity issues and organizational issues. Personal Work Relationships: Work relationships are with supervisor, project specialist, other OMPP staff, and other FSSA employees across divisions, State Department of Health staff, contractors, Federal and State officials, health organizations and the public for the purpose of coordinating the program, sharing information and assistance in resolving program issues.
NewEmergency Services Case Manager I - Impactful Support Wheeler Mission MinistriesEmergency Services Case Manager I - Impactful SupportIndianapolis, INThis full-time position focuses on assessing and developing care plans for guests experiencing homelessness and other challenges. Ideal candidates have a High School Diploma and experience in social services or ministry.
Pregnancy Promise Nurse Case Manager American Technology ConsultingPregnancy Promise Nurse Case ManagerIndianapolis, INExtensive knowledge of state laws, policies and procedures pertinent to the Medicaid programs • Knowledge of care coordination and case management (prior experience preferred) Supervisory Responsibilities/Direct Reports: None Difficulty of Work: Work is complex in nature and involves the integration of diverse programs and policies among numerous federal and state agencies as well as a thorough understanding of legal, political, social justice, child welfare, medical and behavioral health parity and equity issues and organizational issues. Personal Work Relationships: Work relationships are with supervisor, project specialist, other OMPP staff, and other FSSA employees across divisions, State Department of Health staff, contractors, Federal and State officials, health organizations and the public for the purpose of coordinating the program, sharing information and assistance in resolving program issues.
Maternal Health Case Manager American Technology ConsultingMaternal Health Case ManagerIndianapolis, INExtensive knowledge of state laws, policies and procedures pertinent to the Medicaid programs • Knowledge of care coordination and case management (prior experience preferred) Supervisory Responsibilities/Direct Reports: None Difficulty of Work: Work is complex in nature and involves the integration of diverse programs and policies among numerous federal and state agencies as well as a thorough understanding of legal, political, social justice, child welfare, medical and behavioral health parity and equity issues and organizational issues. Personal Work Relationships: Work relationships are with supervisor, project specialist, other OMPP staff, and other FSSA employees across divisions, State Department of Health staff, contractors, Federal and State officials, health organizations and the public for the purpose of coordinating the program, sharing information and assistance in resolving program issues.
Personal Injury Case Manager Morgan & Morgan, P.A.Personal Injury Case ManagerIndianapolis, INThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.
NewEligibility Specialist - Case Manager DFREligibility Specialist - Case ManagerShelbyville, IndianaFull timeKnowledge Services, established in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices throughout North America. We provide outstanding services to major organizations in various industries, including; IT, Healthcare, Entertainment, Media, Federal and State Governments, Public Utilities, Telecom, Manufacturing and more.
Executive Case Manager (Remote) ValerisExecutive Case Manager (Remote)Indianapolis, IndianaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
Case Manager, Rehabilitation (CM), PRN LifePoint Health IncCase Manager, Rehabilitation (CM), PRNBrownsburg, INOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.
NewCase Manager Lic MSW- East- Weekends Only Community Health SystemsCase Manager Lic MSW- East- Weekends OnlyIndianapolis, INResponsibilitiesThe Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring, and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. Implements the discharge plans for patients to include referrals to home health agencies return to ECF's transportation and any unmet needs to provide safe and appropriate transition to next level of care.
NewHospice Registered Nurse Case Manager Elara CaringHospice Registered Nurse Case ManagerIndianapolis, INAssesses hospice care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. As a Registered Nurse Case Manager, you'll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring's board of directors, executive team, and the leadership of the Hospice team.
Case Manager Lic MSW- East- Weekends only Community Health NetworkCase Manager Lic MSW- East- Weekends onlyIndianapolis, INThe Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring, and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. Select a Job Category Administrative & General Support Advanced Practice Providers Allied Health Behavioral Health Intern Leadership Nursing Patient Support Physicians Professional & Business Support.
Case Manager, Registered Nurse (Oncology experience required) CVS Health CorpCase Manager, Registered Nurse (Oncology experience required)IN$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
NewRN Case Manager NEW Indiana University Health IncRN Case Manager NEWAvon, INWorking collaboratively with a multidisciplinary team, you will ensure that each patient receives personalized, appropriate care plans, timely discharges, and smooth transitions to post-acute services. Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred.
Hospice Registered Nurse Case Manager, RN Brighton HospiceHospice Registered Nurse Case Manager, RNCastleton, IndianaFull timeTime management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns). The Registered Nurse Case Manager (RN) plans, organizes, and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.
NewTB NURSE CASE MANAGER Health and Hospital CorporationTB NURSE CASE MANAGERIndianapolis, INMonitor treatment regimen, including ongoing assessment, response to treatment, HIV status, positive and negative motivational factors influencing adherence and any unmet educational needs of the patient. Completion of a Bachelor's degree in nursing from a National League for Nursing accredited program with emphasis on epidemiology, infectious diseases, microbiology, statistics, or related courses.
NewPublic Assistance Eligibility & Case Manager Knowledge ServicesPublic Assistance Eligibility & Case ManagerIndianapolis, INThe role requires reliability, strong analytical skills, and a background in social services or case management. This position involves assisting in processing applications for TANF, SNAP, and Medicaid for Indiana residents.
NewCase Manager - MCCC City of Indianapolis INCase Manager - MCCCIndianapolis, INThe purpose and mission of the Marion County Community Corrections Agency is to improve the lives of citizens in Marion County through community supervision, as an alternative to incarceration, utilizing evidence-based practices and comprehensive case management while cultivating a productive, collaborative, and compliant work environment in order for our workforce to meet the needs of the citizens of Indianapolis and Marion County. This position will develop and manage individual case management plans as indicated by Marion County Community Corrections (MCCC) policy, make appropriate referrals for services in accordance with case plans, and is responsible for the monitoring of clients in their home, at work, and, in the community to ensure compliance with court orders and agency policies.
Case Manager Team Select Home Care LLCCase ManagerIndianapolis, IN$70,000–$85,000 / yearEnsures that the following information/instruction is given in writing to the patient/caregiver/representative: visit schedule with frequency of visits, complete medication profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient's care needs, name and contact information of the agency's Clinical Manager. Acts as an advocate for patient welfare and coordinates care between patients, their families/caregivers and/or their authorized representative, the agency and other healthcare providers/facilities/ outside agencies.
Telephonic RN Nurse Case Manager I - AmeriBen Elevance HealthTelephonic RN Nurse Case Manager I - AmeriBenIndianapolis, IndianaThe Telephonic Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Implements care plan through actions based on assessments including providing education, facilitating authorizations/referrals as appropriate within benefits structure or through ePlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
NewAssistant Director of Nursing / Case Manager BrightStar Care of IndianapolisAssistant Director of Nursing / Case ManagerCarmel, IndianaThe Assistant Director of Nursing (ADON) / RN Case Manager supports the Director of Nursing in overseeing clinical operations, ensuring quality patient care, and maintaining compliance with agency policies and state regulations. This role supervises field staff, conducts client assessments, develops care plans, and coordinates home health services to promote positive patient outcomes.
Nurse Case Mgr II (US) Elevance HealthNurse Case Mgr II (US)Indianapolis, IndianaThe Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Home Health RN Case Manager (Full-Time | Day Shift) Staffing Care ProHome Health RN Case Manager (Full-Time | Day Shift)Indianapolis, IN$70,000–$80,000 / yearFull timeYou will work directly with patients in their homes, collaborate with providers, and help guide care plans that promote safety, independence, and improved health outcomes. This role is ideal for a Registered Nurse who values autonomy, meaningful patient relationships, and a consistent weekday schedule while delivering high-quality care in the home setting.
RN Case Manager - Home Health Agency - PRN or Contractor / As Needed Home Care Network, IncRN Case Manager - Home Health Agency - PRN or Contractor / As NeededIndianapolis, IN$35–$40 / hourTo support our growth and the increasing volume of client care throughout Indiana, we are seeking a highly skilled, experienced, accountable, and self-motivated home health RN Case Manager (PRN / As Needed) to join our agency and serve existing and returning clients in the greater Indianapolis and Metro areas. This role requires a mix of case management, recertifications, starts of care (SOC), resumptions of care (ROC), other assessments and services, occasional Skilled Nursing visits, as well as new hire orientations, trainings, in-services, and supervisory reviews.
Case Manager Damar Services, Inc.Case ManagerIndianapolis, IndianaFull timeBachelor’s or Master’s Degree in a human services field (other than social work) and at least three (3) years of experience under the supervision of a qualified social worker OR at least one year experience working directly with persons with DD/ID. Damar is looking for a talented and motivated Case Manager to be responsible for leading, directing and monitoring treatment services and actively promoting agency philosophy in the delivery of those services.
Nurse Case Manager Lead Elevance Health IncNurse Case Manager LeadINThe Telephonic Nurse Case Manager Lead is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Participates in audit activities and assists supervisor with management of day-to-day activities, such as monitoring and prioritizing workflow, delivering constructive coaching and feedback, and developing associated corrective action plans at direction of the manager.
Case Manager Immigration Bilingual Spanish The GEO GroupCase Manager Immigration Bilingual SpanishIndianapolis, IndianaFull timeIdentifies and maintains relationships with translation resources in the community, including private services, volunteers, universities, English as a Second Language (ESL) schools, NGOs, churches, and other organizations that might have resources to offer. At least two (2) years of customer service or case management experience required; experience in fields related to law, social work, detention, corrections or working with multi-cultural clients preferred.
Telephonic Nurse Case Manager II Elevance Health IncTelephonic Nurse Case Manager IIIndianapolis, IN$79,464–$119,196 / yearThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Case Manager II PRN Knight Health Holdings LLCCase Manager II PRNIndianapolis, INRemains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.