
Collaborate with physicians, social workers, therapists, insurance providers, and multidisciplinary teams to ensure optimal health outcomes. Conduct comprehensive assessments to identify patient needs and develop tailored interventions. Manage utilization review activities to promote appropriate resource utilization and compliance with payer requirements. Maintain accurate documentation in electronic medical records while ensuring compliance with regulatory and accreditation standards. Evaluate quality metrics and implemented interventions to improve patient satisfaction, safety, and clinical outcomes. Monitor patient progress and adjusted care plans based on clinical status and healthcare goals. Facilitate discharge planning, referrals, and transitions of care to reduce readmissions and improve patient outcomes. Educate patients and families regarding treatment plans, medications, disease management, and available community resources. Advocate for patients to ensure access to necessary healthcare services and support systems.