Alameda Health System
San Leandro, CA, USA
Summary
SUMMARY: Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE : The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.
2. Coordinates patient...