- Spectrum Health and Human Services (Buffalo, NY)
- … planning from an ER, hospital/residential/rehabilitative setting to ensure a safe transition / discharge that care needs are in place. + Notify/consult ... community supports to ensure that needed services are provided. + Follow-up post discharge with client/family to ensure client care plan needs/goals are met.… more
- Northwell Health (Forest Hills, NY)
- …other members of the interdisciplinary care team.Coordinates and facilitates the discharge planning process.Initiates discharge planning by assessing ... discussion and planning for anticipated need for care following discharge .Ensures discharge plan...on-site reviewers to transition patients to appropriate discharge settings.Participates in quality management of patient care… more
- Northwell Health (Manhasset, NY)
- …/materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care ; evaluates the effectiveness ... of the knowledge, skills, and abilities registered nurses need for successful transition into the critical care nursing specialty. Fellows are introduced… more
- MVP Health Care (Rochester, NY)
- …stay and for a period of 30 days post discharge to ensure adequate care coordination and education in the transition of care period. + Contribute ... management model that includes assessment, planning , implementation, care coordination, monitoring, and care planning...to work collaboratively with hospital staff and assist in discharge planning and to ensure the member… more
- Rochester Regional Health (Rochester, NY)
- …effective transition through timely communication of information necessary for patient care and discharge planning , and supporting appropriate patient ... effectiveness; * Participate in meetings and huddles as appropriate; * Conduct pre-visit planning and post-visit follow-up for care managed patients; * Provide… more
- City of New York (New York, NY)
- …team to offer services. - Work with consumers, their families, and hospital discharge planning staff to provide information, offer support, identify appropriate ... for people with first episode psychosis. The NYC Supported Transition and Recovery Team (NYC START) is a specialized...psychosis. The program collaborates with hospital treatment teams and discharge planners for optimal after care plans,… more
- Guthrie (Vestal, NY)
- …the treatment, educational and discharge planning process for a safe transition home, and to ensure continued care needs are met. Effectiveness of ... the patient. Information is provided to patient/family regarding current status, program planning and discharge plans throughout the rehabilitation program. 4.… more
- Graham Windham (Bronx, NY)
- …and Health Monitoring: + Tracks that there is consistent coordination provided by Care Managers between Graham Windham case planning , caregivers, and community ... and/or discharge from Emergency Room, inpatient hospitalization and/or residential care settings. + Ensures that Care Managers complete Mental Health… more
- Guthrie (Binghamton, NY)
- …costs and enhances patient outcomes. a) Assists in the implementation of discharge planning as necessary, through concurrent monitoring and reevaluation, to ... Acute Case Manager supports the healthcare team in assessing, planning , and facilitating individualized continuum of care ...care processes for the patient during the acute care phase, and during the transition phase… more
- Elderwood (Buffalo, NY)
- …to members and their caregivers on health care related issues + Provide discharge planning and continuous care management across care settings ... of one (1) year Social Work experience with at risk populations in home care , case management, discharge planning or managed care . + Minimum of one (1)… more