- Guthrie (Corning, NY)
- …will reflect a timeframe for attainment. The outcomes will provide for continuity and coordination of care which will be modified based on changes in the ... attain expected, measurable outcomes. A. Develops a plan of care and identified priorities with the patient, family...interprofessional team to implement the plan and coordinates the coordination of care . D. Provides care… more
- OLV Human Services (Buffalo, NY)
- … - Emergency Foster Care : OLV Human Services provides the only emergency foster care program in Western New York. The Group Emergency Foster Care ... 18 including individual children, sibling groups, pregnant, and parenting teens. The program provides temporary care and diagnostic services for children… more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- Summary The incumbent is responsible for the management, coordination and provision of social work services to veterans and their families in the Substance Abuse ... Treatment Program Residence of the VAMC. The incumbent is responsible...planning, case management, individual, couples and group counseling and coordination of discharge plans for veterans admitted to Substance… more
- CenterLight Health System (Flushing, NY)
- …the PACE center, hospitals, nursing homes, and other alternate setting as deemed necessary for care coordination consistent with the PACE model of care . The ... Reviews and confirms eligibility of member in the PACE program based on Nursing Facility Level of Care...members with the members of the IDT. + Performs care coordination as part of their nursing… more
- City of New York (New York, NY)
- …a member of an interdisciplinary team, to support the planning, development and coordination of care and behavior plans and discharge recommendations for youth ... and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care ...youth in the community. The Division of Youth and Family Justice (DYFJ) provides a wide range of services… more
- Highland Hospital (Rochester, NY)
- …employee for this role. Some duties include but are not limited to: Direct patient care , coordination of clinical services and assurance of continuity of care ... and other student education, as well as assisting the coordination of team functions. Provides direct patient care...is desired. Minimum 1 year experience as a practicing Family Nurse Practitioner in an ambulatory primary care… more
- Loretto Management Corporation (Syracuse, NY)
- …regarding individual expectations plus long and short term goals; attends/coordinates family meetings; attends nursing home care planning meetings, etc. ... team members and nursing homes to discuss progress and coordination of client care efforts. + Assists...team members regarding community resources, Medicaid and other social program and psychosocial issues related to client care… more
- Humana (Albany, NY)
- …track Medicare Shared Savings Program (MSSP) + Designs a strategy for the care coordination team to identify high risk patients + Communicate with physician ... the program may include rotations through various DVACO departments including Care Coordination , Practice Transformation, Data Analytics, Post-Acute Care … more
- Mount Sinai Health System (New York, NY)
- …patient population. + Organizes and leads in the execution of day to day patient care coordination , as appropriate to program objectives and areas of ... departments and services within the context of the specialty program including the clinical plan of care ,...specific to the clinical specialty service, relative to the coordination of care for the specialty patient… more
- Mount Sinai Health System (New York, NY)
- …patient population. c. Organizes and leads in the execution of day to day patient care coordination , as appropriate to program objectives and areas of ... departments and services within the context of the specialty program including the clinical plan of care ,...specific to the clinical specialty service, relative to the coordination of care for the specialty patient… more