Understands and adheres to the WPH Performance Standards, Policies, and Behaviors.

Completes a comprehensive initial assessment.

Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.

Performs all transitional planning activities including, but not limited to:

Patient/caregiver education

Arrangement of all aftercare

Commercial payer involvement

High utilizer patient root cause

Communicates and collaborates all relevant patient information to appropriate health team members.

Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.

Documents per department requirements.

Participates in Performance Improvement activities as needed.

Performs all UR activities per de...