Palm Springs, CA30+ days ago
This individual's responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies c) care coordination d) implementation or oversight of implementation of the transition plan e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review f) making appropriate referrals to other departments g ) communicating with patients and families about the plan of care h) collaborating with physicians, office staff and ancillary departments i) assuring patient education is completed to support post-acute needs j) timely complete and concise documentation in Case Management documentation system k) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned. Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.