• Stony Brook University (Stony Brook, NY)
    …Brook Medicine, a **TH Staff Associate/Outpatient Care Manager** is a valuable member of our team , who provides clinical services to our patient population. ... ill patients. + Monitor and promote self-management. + Facilitates transitions of care by contacting patient within...of care in EMR and alerts primary care team members. + Provides education on… more
    DirectEmployers Association (11/20/25)
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  • Case Manager RN - Per Diem

    Nuvance Health (Carmel, NY)
    …those resources as necessary. 13. Documents avoidable days (if not captured by another Care Transitions Team member ), case management assessments, and ... team to formulate a treatment plan to include care transitions and promote patient flow. 3....all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health… more
    Nuvance Health (11/18/25)
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  • Case Manager RN Nonexempt - Part Time

    Nuvance Health (Rhinebeck, NY)
    …those resources as necessary. 13. Documents avoidable days (if not captured by another Care Transitions Team member ), case management assessments, and ... team to formulate a treatment plan to include care transitions and promote patient flow. 3....team to facilitate the plan. 9. Facilitates smooth care transitions by ensuring appropriate clinical follow-up… more
    Nuvance Health (11/05/25)
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  • Team Member - Home Organizer

    Caring Transitions (Great Neck, NY)
    …part time role. Hours are generally M-F 10:00-3:00 2-3 days per week. Caring Transitions of Great Neck delivers professional, courteous, personalized services to ... home, leaving it clean, broom-swept and ready for sale. Caring Transitions is a national franchise brand,...clients + Self-motivation and willingness to learn + A team player; works well with, and collaborates with others… more
    Caring Transitions (11/01/25)
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  • Transition of Care Coach (RN)

    Molina Healthcare (NY)
    …Coordinates care and reassesses member 's needs using the Coleman Care Transitions Model recommended post-discharge timeline. + Educates and supports ... family/support network, as needed or at the request of member . + Ensures member transitions ... member to address concerns. + Facilitates interdisciplinary care team meetings and informal ICT collaboration.… more
    Molina Healthcare (11/12/25)
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  • Transition of Care Pharmacist

    Catholic Health Services (Rockville Centre, NY)
    …and evidence-based, cost-effective pharmacotherapy. He/she will ensure smooth care transitions . Will participate in organizational performance-improvement ... to receive this prestigious award. Job Details Transition of Care (TOC) The Transitions of Care...targeted patient populations. + Act as a liaison between care team members and the pharmacy department… more
    Catholic Health Services (10/21/25)
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  • Licensed Practical Nurse

    Prime Care Coordination (Webster, NY)
    …Plan (IPP) components for which responsible; functioning as an Interdisciplinary Treatment Team (ITT) member , and assuring compliance with all applicable ... established policy and procedure + Assure and monitor health care services in accordance with Agency and program policy...Driver's License required) + Adhere to all CDS Life Transitions , Inc. policies and procedures + Adhere to the… more
    Prime Care Coordination (11/25/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …multidisciplinary team . This position will be part of our Special Needs Program (SNP) team . All of our SNP RN Care Managers are work at home associates, ... care for acute situations (APS, EMS) + Discuss transitions of care to assist with safe...toward and facilitate interaction with resources appropriate for the care and wellbeing of members + Assess member more
    Humana (11/19/25)
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  • Ambulatory Care Pharmacist - Cardiology

    SUNY Upstate Medical University (Syracuse, NY)
    …with specialty medication requirements. As a member of a diverse ambulatory care pharmacy team , this pharmacist may also be called upon collaborate in ... staff to optimize medication therapy, provide patient/provider/nurse education, and assist with transitions of care management. This pharmacist will also work… more
    SUNY Upstate Medical University (11/07/25)
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  • Director, Care Coordination

    Northwell Health (Mount Kisco, NY)
    …planning for complex patients identifying social barriers and linkage to services supporting care transitions and safe discharge back to the community. Job ... level of care . Oversees the coordination of care and transitions of care ...and may be modified in the future.When determining a team member 's base salary and/or rate, several… more
    Northwell Health (11/15/25)
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