Coordinates the integration of social services/case management functions into the patient care, discharge, and home planning processes; coordinates with external service organizations, agencies and healthcare facilities.

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• Experience in public health nursing, acute care, case management and/or in-home health care.
• Knowledge of disease management strategies.
• Knowledge of nursing processes, care management, and continuity of care.
• Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; and develops alternative solutions.
• Ability to maintain strict protocols of all confidential or sensitive information.
• Computer proficiency and working knowledge of Microsoft Office Suite.
• Strong verbal, written and interpersonal communication skills.

This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.

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• Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided.
• Effectively and efficiently manages patients throughout the continuum of care.
• Performs utilization review to ensure admissions for appropriateness of care and medical necessity.
• Coordinates and oversees the care and services of patients to achieve desired clinical and resource outcome.
• Coordinates with physicians on patient's progress and discharge needs.
• Works with discharge planners and assists in the coordination of support services.
• Provides education and support to patients and families related to their medical condition, treatments and the importance of following the continuing treatment plan.
• Serves as an advocate for patients in dealing with healthcare providers, insurance plans, and community resources.
• Performs all other duties as assigned.