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Facilitates progress through the continuum of care, from Pre- Admission through Discharge; Evaluates patients for discharge planning needs and appropriately directs the patient's care; Monitors resource consumption for most effective use; Provides feedback to payors on patient's clinical status and secures approvals for additional days of stay; Identifies teaching and psychosocial concerns for the best patient outcome; Functions as Patient Advocate to assist patients in resolving concerns.
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Directs and guides the plan of care to result in a seamless continuum of care. Serves as the liaison across the internal KFHPW care continuum and between KFHPW and all externally contracted providers, facilities, and resources and provides feedback to the organization regarding the service and quality of contracted services.
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Communicates patient information effectively across the continuum of care. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
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Previous experience in case management / discharge planning preferred; acute care experience preferred; experience with Mother/ Baby preferred. Ability to work independently; working knowledge of Microsoft Word and Excel preferred; willingness to learn computer applications necessary for work functions; ability to adapt to changing situations and various personalities with a positive attitude.
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Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.
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Continuum Therapy Partners has an opportunity for a PRN Physical Therapist/ PT at Christian Care Community of Allen, in Allen, TX. For location details, please visit: Please contact Olivia Gramm at 781-534-3115 or email olivia@continuumtherapypartners.com.
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Rehab Without Walls is a revolutionary neuro rehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care.
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