Responsibilities: Resposibilities include condcting concurrent case managment and discharge planning activities; identifying and addressing barriers to discharge; coordinating with patients, families, physicians, and community resources; facilitating referrals to post-acute providers; participating in interdisciplinary rounds; supporting patient progression, regulatory compliance,and lenght-of-stay intitiatives; documenting case management interventions; and collaboratng with the interdisciplinary team to ensure safe, efficient transition of care. Including, but not limited to daily review of medical records to determine appropriateness and establishing medical necessity for admission, continued hospital stay, use of ancillary services, and initiating and facilitating discharge planning.