A Benefis Transitional Care Manager is responsible for working with patients and their families to assure a smooth transition following discharge from the hospital. The care manager encompasses all care needs of the patient and remains point of contact for patient/family/legal representative until patient transitions to another service line, OP case manager or patient navigator. Works with all members of the healthcare and multidisciplinary team to assure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening and reimbursement criteria for appropriate referral management. Plans and coordinates all necessary care services and needs for the patient. Provides patient/fami
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