- Evergreen Health (Buffalo, NY)
- …with patients as needed after emergency department visits. Including, develops plans of care for hospital transitions to identify factors to decrease the ... our diverse workforce allows us to provide culturally competent care to everyone in our community . The RN... to everyone in our community . The RN Care Manager - Transition of Care supports… more
- Catholic Health Services (Melville, NY)
- …clinical meetings as necessary + Assists when needed with the coordination of care during all transitions within the healthcare continuum. + Reveals ability ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Helio Health Inc. (Syracuse, NY)
- …and arranges for needed services and monitors delivery of services. + Evaluates care needs at transitions , arranges safe transition plans, updates care ... and supports to live a satisfying, naturally independent life. TheAdult Health Home Care Managerworks with and oversees the process with individuals to develop and… more
- BAYADA Home Health Care (Nanuet, NY)
- …schools, and families + Partner with our intake and scheduling teams for smooth transitions of care **Grow the Team** + Participate in hiring, onboarding, and ... impact with patients and families? At **BAYADA Home Health Care ** , we believe every child and adult deserves...** , we believe every child and adult deserves care delivered with compassion, expertise, and dignity-right in the… more
- Ellis Medicine (Schenectady, NY)
- …evaluation, nursing home, home with supports, etc.) + Assists with facilitation of patient care transitions across the care continuum within SPHP and the ... their families, participating as a member of the multi-disciplinary care team to assist in the development of or...the patient to achieve their goals. Collaborates with clinical care teams, conducts situational analysis and provides assistance and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …primary care physicians, hospitalists, and specialty providers to ensure seamless care transitions + Participate in care planning, patient education, ... has been named a 2025 Times Union Top Workplace. We are the first acute care hospital in the Capital Region to earn the distinction since the Times Union launched… more
- Rochester Regional Health (Rochester, NY)
- …drive the plan of care , identify and remove barriers and assist with care transitions for all patients on the unit. Participates in unit-specific and ... from people from multiple backgrounds, cultures and ethnicities. We care for patients temporarily, either their kidney function recovers...Nurse Leader (CNL), formerly known as ACL or Clinical Care Coordinator, provides both clinical care to… more
- Albany Medical Center (Albany, NY)
- …with experience in the field of Clinical Social Work with experience in care transitions . + Ability to create collegial and collaborative relationships ... Department/Unit: Care Management/Social Work Work Shift: Day (United States...psychiatric referrals, and competency determinations. + Leads or co-leads Care Coordination Rounds + Help create function and productivity… more
- St. Mary's Healthcare (Amsterdam, NY)
- …+ Collaborate with hospital staff, specialists, and consultants to ensure coordinated and high-quality care + Manage care transitions and handoffs to ensure ... Union Top Workplace . We are the first acute care hospital in the Capital Region to earn the...has a 100+ year legacy of delivering compassionate, patient-centered care . We are proud to serve as a trusted… more
- Rochester Regional Health (Rochester, NY)
- …the plan of care , identify and remove barriers and assist with care transitions for all patients on the unit.Participates in unit-specific and system-wide ... Position Summary:The Assistant Nurse Manager (ANM) is responsible for the clinical care to patients and direct oversight of day-to-day responsibilities of nursing… more