- ProMedica Health System (Toledo, OH)
- …referral/admission/discharge data as appropriate. 6. Provides coverage to Transitional Care Manager, Case Manager, and PPS Coordinator roles with shared ... community. This role actively collaborates with the FRC PPS Coordinator , Case Managers, Transition Care Managers, and...the FRC PPS Coordinator , Case Managers, Transition Care Managers, and Nursing and Therapy Leadership to coordinate… more
- ProMedica Health System (Oregon, OH)
- …Rounds (DTRs) and contributes to discussion of discharge needs. 9. Identifies transitional care barriers and collaborates in comprehensive, patient-centered ... The Social Worker/Discharge Planning Coordinator intervenes with patients who are psychosocially complex,...Health (SDOH) needs, and/or require assistance with transitions of care or discharge planning. In addition, the Social Worker/Discharge… more
- Fresenius Medical Center (Kent, OH)
- …families under the direction of the CM or designee as allowed by state law ** TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first ... PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding...preforms a treatment on all machines used in the transitional care unit. + Assist in assuring… more
- ChenMed (Columbus, OH)
- …PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the ... the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional -… more
- ChenMed (Columbus, OH)
- …+ Leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the ... come to the office-in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional -… more