Job DescriptionAssesses the needs of individual patients within an assigned case load for care coordination, discharge planning, and utilization management services Facilitates early referral to high risk case management, physical therapy, occupational therapy, social work, risk management, patient advocacy, post-acute services, and quality management. Refers clinical issues and lapses in standards of care to appropriate parties.Creates case management care plans for assigned patients. Comprehensively assesses patients' requirements for services. Extensively assesses patients' organizational, and payer needs with regard to meeting clinical and financial goals, and patient/provider satisfaction.