- FlexStaff (New York, NY)
- …care of contracted organizations provided at participants' homes with leadership in care transition planning and execution. The Clinical Manager ... goals and best practices. Job Responsibilities: Care Transition Oversight: Collaborate with hospital discharge planners,... according to best practice standards. Coordinate with the Care Planning Team to develop and implement… more
- HCR Home Care (East Syracuse, NY)
- …who participate s in communication and discharge planning during a patient's transition from acute care to the home care setting. The HCC ... physical, psychosocial, and anticipated environmental needs. + Communicates with patient's primary care physician to safely transition patient to home care… more
- Guthrie (Cortland, NY)
- …communication of the treatment status of each patient. + Participates in interdisciplinary care / discharge planning . + Uses SBAR for patient handoffs. + ... appropriate teaching sheets. + Includes evaluation of learner's understanding post-teaching. Safe Discharge / Discharge Planning + Contributes to or initiates … more
- Monroe Plan for Medical Care (Bath, NY)
- …tools for those identified as being at high risk. + Participate in hospital discharge planning meetings to identify the best community resources for returning ... and learning about the neighborhood. + Participate in hospital discharge planning meetings to identify the best...transition back into the community. Document a Person-Centered Care Plan, in collaboration with the client and providers… more
- Catholic Health (Buffalo, NY)
- …The nurse resident considers factors related to safety, effectiveness and cost in planning and delivering care . The nurse resident's decisions and actions on ... assist in establishing goals and strategies for meeting the discharge or continued care needs of the...the first professional role and become leaders in patient care delivery. Transition experiences have an emphasis… more
- Catholic Health (Kenmore, NY)
- …(6) to twelve (12)-month transition to becoming an RN in the Critical Care Float Pool which encompasses the Emergency Department (ED) and Intensive Care Unit ... considers factors related to safety, effectiveness and cost in planning and delivering care . The nurse resident's...assists in establishing goals and strategies for meeting the discharge or continued care needs of the… more
- Ellis Medicine (Schenectady, NY)
- … care transition , collaboration with physicians and social workers for care coordination and discharge planning . SECTION II EDUCATION AND EXPERIENCE ... Previous case management, utilization review, and discharge planning experience highly preferred. Home care , payer,...planning needs and complex psychosocial needs and coordinate transition of care with Social Worker +… more
- YAI (NY)
- …to discuss the progress of people being supported and acquire updates for transition planning . + Facilitating weekly treatment team meetings to discuss each ... ensuring a comprehensive and person-centered approach to treatment and planning for continued success following discharge for...person's stay at the BHS home, planning for successful transition on an ongoing… more
- University of Rochester (Rochester, NY)
- …ensuring a safe transition from hospital to home for adult acute care patients. Responsibilities: - Identifies patient discharge needs - Assists in ... care strategies to close gaps in medical care upon discharge . Leads daily discharge...Identifies resources for patient self-management planning and discharge . - Assists in developing and implementing care… more
- New Directions Youth and Family Services (Amherst, NY)
- … discharge to/from an ER, hospital/residential/rehabilitative setting. * Facilitate discharge planning and follow up with hospitals/ER upon notification ... the Wraparound process for enrolled youth and families .The Care Coordinator facilitates a planning process that...for effectiveness and timeliness * Facilitate the development of transition plans to ensure continued success of youth and… more