Coordinate interdisciplinary care and discharge planning, identify barriers to patient progress, and document care activities in accordance with CMS guidelines. Facilitate team conferences and family meetings, communicate progress and discharge plans to caregivers, and collaborate on Case Mix Group and comorbidity reviews. Applicants must hold an active license as an RN, social worker (LSW), respiratory therapist, PT, OT, or SLP, and have at least two years of inpatient case management or social work experience; rehabilitation experience is strongly preferred. Strong communication, organization, collaboration, and Microsoft Office skills are expected, while case management or rehabilitation nursing certification is preferred.
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