• Transition of Care

    VNS Health (Manhattan, NY)
    …representatives, vendors, caregiver(s) and facility discharge planners in discharge planning coordination and transition of care ; follows-up on ... at assigned facilities and makes outreach to the facilities discharge planning staff to start the ...plan of care to facilitate a safe discharge and transition back into the community… more
    VNS Health (01/11/25)
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  • Discharge Planner-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …college or university. Minimum Experience: Three (3) years' experience in discharge planning , transition of care , or related experience in the healthcare ... Position Summary: Provides direct and indirect discharge planning services to assigned patient care units...discharge planning services to assigned patient care units including pre-hospital services, and in-hospital service. Assists… more
    Covenant Health Inc. (01/14/25)
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  • Medical Social Worker (pool) - Integrated…

    Dayton Children's Hospital (Dayton, OH)
    …staff, to effect overall care coordination for the transition of care and complex discharge planning process. Through psychosocial assessment and ... care . Participates as a professional team member in patient care planning along with the hospital and community agency personnel. Provides education and… more
    Dayton Children's Hospital (01/15/25)
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  • Care Coordinator / Care Manager II…

    The Salvation Army (Bronx, NY)
    …client needs/preferences; formulates and implements treatment, transition , and discharge /continuing care planning collaboratively with clients. + ... Ensures maintenance of accurate, complete, timely and high-quality client records and reporting of client information that comply with external regulatory standards and agency policy and procedure. + Complies with HIPAA privacy regulations and is a New York… more
    The Salvation Army (01/10/25)
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  • Social Worker / Discharge Planning

    ProMedica Health System (Toledo, OH)
    …have Social Determinants of Health (SDOH) needs, and/or require assistance with transitions of care or discharge planning . In addition, the Social Worker/ ... POSITION SUMMARY The Social Worker/ Discharge Planning Coordinator intervenes with patients...Transition Rounds (DTRs) and contributes to discussion of discharge needs. 9. Identifies transitional care barriers… more
    ProMedica Health System (11/15/24)
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  • Social Worker / Discharge Planning

    ProMedica Health System (Sylvania, OH)
    …psychosocial and financial information necessary for the facilitation of appropriate discharge planning . Performs psychosocial assessment on all referrals and ... and documents within 24 hours of referral. Completes the following psychosocial transition planning services: New facility placements, New dialysis patients,… more
    ProMedica Health System (01/22/25)
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  • Discharge Planning Associate

    UPMC (Jamestown, NY)
    Are you an RN or Social Worker interested in Care Coordination and Discharge Planning ? UPMC Chautauqua is looking for a Discharge Planning Associate ... holidays. UPMC is proud to announce the NEW Clinical Care Coordination and Discharge Planning ...health that may elevate the risk of a poor transition . + Complete detailed assessment on every patient in… more
    UPMC (01/24/25)
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  • ED RN Case Manager - UR & Discharge

    Beth Israel Lahey Health (Plymouth, MA)
    …This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing Unnecessary Re-admissions ... for evaluation and process improvement. **B. Discharge Planning ** + Creates and coordinates the overall transition...Care Transitions Department about incoming patients that have discharge planning needs + Assesses, coordinates and… more
    Beth Israel Lahey Health (12/27/24)
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  • Discharge Planning Associate…

    UPMC (Erie, PA)
    …passionate about improving patient care and making a meaningful impact in the discharge planning process, we encourage you to apply today! If you have any ... a multidisciplinary team to ensure a smooth and successful transition from hospital to home or other care...license required). + Experience: + No prior experience in discharge planning or care coordination… more
    UPMC (01/15/25)
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  • Clinical Care Transition Specialist…

    Option Care Health (Omaha, NE)
    …and communicates this to patient registration department. + Proactively initiates care transition coordination with referral sources and internal partners ... the patient and proper assessment and treatment process and transition to home care . + Serves as...QUALIFICATIONS Hands on home or alternate site infusion or discharge planning experience Experience growing service provider… more
    Option Care Health (01/17/25)
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  • RN Case Manager - Discharge Planning

    Trinity Health (Silver Spring, MD)
    …and families, ensuring their needs and preferences are at the center of discharge and post-acute care planning . **Benefits:** + Comprehensive benefit ... Time **Position Purpose:** As a Case Manager focused on discharge planning , you will play a vital... transition from hospital to home or post-acute care . By developing tailored discharge plans, educating… more
    Trinity Health (01/14/25)
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  • Discharge Planning Assistant - Psych…

    Guthrie (Cortland, NY)
    …patient, care givers and/or interdisciplinary team. Responsibilities: Participates in care planning and communicates information between patient and team. ... discharge recommendations of the clinical team to...the processes necessary to ensure patient specific continuity of care during his/her transition to a lower… more
    Guthrie (01/08/25)
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  • Registered Nurse Care Management…

    Catholic Health (Buffalo, NY)
    …foundational case management and discharge planning principles, the RN Care Manager, Transition of Care engages the patient/patient representative in ... continuum and identifies and removes barriers for delays of discharge . The RN Care Manager, Transition...of a Case Manager or Disease Manager, Population Health, Discharge Planning or Chronic Care more
    Catholic Health (10/31/24)
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  • Case Manager I ( Transition Planning

    Sharp HealthCare (La Mesa, CA)
    planning process.Maintain current knowledge of case management, utilization management, and discharge planning , as specified by Sharp, federal, state, and ... to work effectively with individuals and or teams across disciplines. + Care coordination and discharge planningWithin 24 hours of admission the RN CM I will… more
    Sharp HealthCare (01/16/25)
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  • Clinical Care Transition Educator…

    Option Care Health (Chicago, IL)
    …Qualifications & Interests** + Hands on home or alternate site infusion or discharge planning experience + Experience growing service provider partnerships Due ... for providing clinical education and training to ensure successful transition of patients to an Option Care Health care delivery model. The Clinical … more
    Option Care Health (01/25/25)
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  • Care Transition Manager Social…

    Texas Health Resources (Fort Worth, TX)
    …2017) * **3 Years'** experience in hospital/medical social work Preferred * 1 Year discharge planning / care management Preferred * LMSW - Licensed Master ... ** Care Transition Manager Social Worker -...** Care Transition Manager Social Worker - PRN** **LMSW or...on patients within 24 hours of identification and begins discharge planning . . Interviews and assesses patients… more
    Texas Health Resources (01/23/25)
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  • Registered Nurse Care Manager - Integrated…

    McLaren Health Care (Pontiac, MI)
    …will enhance the patient's ability to successfully transition along the care continuum. 7. Performs discharge planning coordination/referral by making ... with 24 hrs. of admission. assessments for readmission and transition planning . 2. Works collaboratively with the...5. Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies… more
    McLaren Health Care (01/22/25)
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  • SW Case Manager/ Care Transition

    Texas Health Resources (Frisco, TX)
    **SW Care Transition Manager - Care ...social work preferred + One year of experience of discharge planning / care management + Hospital Case ... - PRN, Days** _Fast-paced, high volume Care Transition department is looking for top social workers._ _Is...on patients within 24 hours of identification and begins discharge planning + Interviews and assesses patients… more
    Texas Health Resources (01/22/25)
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  • Care Transition Manager, RN - PRN,…

    Texas Health Resources (Plano, TX)
    ** Care Transition Manager Registered Nurse (RN) -...acute care hospital required . One year discharge planning / care management preferred . RN ... PRN; Days** _Fast-paced, high volume Care Transition department is looking for top...on patients within 24 hours of identification and begins discharge planning . Interviews and assesses patients… more
    Texas Health Resources (01/08/25)
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  • Care Transition Manager Social…

    Texas Health Resources (Fort Worth, TX)
    …2017) . **3 Years'** experience in hospital/medical social work Preferred . 1 Year discharge planning / care management Preferred . LMSW - Licensed Master ... ** Care Transition Manager Social Worker** **LMSW/LCSW**...* Ability to engage in complex clinical decision-making and discharge planning * Strong oral and written… more
    Texas Health Resources (01/24/25)
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