- AdventHealth (Hinsdale, IL)
- …initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient ... the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical… more
- AdventHealth (Zephyrhills, FL)
- …initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient ... the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical… more
- Mount Sinai Health System (Long Island City, NY)
- …the patient, and significant others to plan and implement the patient's care. 11. Coordinates discharge planning from the day of admission to day of discharge ... based on established priorities, including teaching, rounding, counseling, and discharge planning, and directs/delegates appropriately to members of the health… more
- AdventHealth (Ocala, FL)
- …initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient ... the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical… more
- Cambridge Health Alliance (Cambridge, MA)
- …with and connection to community based resources and addressing social barriers to discharge . Coordinates and executes discharge planning functions for high risk ... hospitalized and ED patients with social barriers to discharge . Job Details: Clinical Social Workers within the inpatient medical units are vital members of the… more
- University of Miami (Miami, FL)
- …Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from admission to discharge . Monitors care and acts as a liaison between ... facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to...the patients' risk factors or obstacles to care, and discharge and readmission risk. + Evaluates the plan of… more
- Molina Healthcare (MS)
- …+ Follows member throughout a 30-day program that starts at hospital admission and continues its oversight through transitions from the acute setting to ... safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating as needed or...in the hospital; home visits of high-risk members post discharge . + 40-50% local travel required. + Coordinates care… more
- Community Health Systems (Crestview, FL)
- …The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal ... Conducts daily reviews of medical records to assess the appropriateness of admission , continued hospital stay, and utilization of diagnostic services. + Collaborates… more
- AdventHealth (Palm Coast, FL)
- …initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient ... the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …services with members of the multidisciplinary Case Management team + Conducts discharge and transition planning; drafts discharge summary + Meets regularly ... client screening, intake, orientation, and assessment functions necessary to complete admission to the residential program, and screen for continuing stay criteria… more