's responsibilities include the following activities: a) arrange post-discharge services; b) create and follow up on electronic referrals...; d) provide follow up Important Message to Medicare patients prior to discharge; e) communicate with patients, families...
Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding..., Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions...