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- The Care Manager (CM) PRN works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge.
- Care Coordination and Discharge Planning are both responsibilities of this role.
- Interviews patients/families to obtain information about social, emotional, and financial factors which may impact health status both prior to, and after, discharge and assess the patient's current formal and informal support system as well as available benefits and resources.
- Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner.
- Legal issues (adoptions, guardianship)
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