li>Enters nursing orders for their assigned patient caseload, in addition to those being handled by the social worker care coordinator, related to discharge planning and transitional care needs, as they are directly involved in patient care and coordinating the discharge process, including documenting necessary orders for post-discharge management. ESSENTIAL FUNCTIONS:
- Collaborates and communicates with multidisciplinary teams in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation to assesses, documents, and addresses psychosocial, cultural, emotional, and economic needs of patients and families during the hospitalization and discharge planning process.