- Carle Health (Urbana, IL)
 - …and evaluation in the practice of nursing. Provides and facilitates healthcare and transitions of care to individuals, families and communities within the RN ... scheduling, referrals, handoffs, intake, assessment and provide continuity of team resources.Provide care management, facilitate transitions of care , support… more
 
- SUNY Upstate Medical University (Syracuse, NY)
 - …staff to optimize medication therapy, provide patient/provider/nurse education, and assist with transitions of care management. This pharmacist will also work ... performing duties in various practice locations, including inpatient, emergency departments, ambulatory care clinics, and transitions of care settings.… more
 
- Tufts Medicine (Boston, MA)
 - …providers, pharmacies, laboratories, and shared care hospitals to ensure smooth care transitions . 7. Consult and refer patients to other resources and ... Collaborate with outpatient shared care hospitals to ensure smooth care transitions . 13. Coordinate the appointments, workup, results of tests and other data… more
 
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
 - …PACT clinicians, training, liaising with internal/external providers, and managing veteran care transitions . The role involves program development, process ... as a liaison to internal and external providers to ensure seamless care transitions for Veterans. Participate in the development, implementation, monitoring,… more
 
- Beth Israel Lahey Health (Amesbury, MA)
 - …team to ensure that patient care is coordinated, comprehensive, and that care transitions are seamless. This role also includes providing education and ... that patient care is coordinated, comprehensive, and that care transitions are seamless + Provide competent, compassionate, evidence-based nursing care… more
 
- Atlantic Health System (Morristown, NJ)
 - … and healthy behaviors to improve health. + Provide psychosocial assessment, sustainable care transitions , and structured support to help address social and ... and address the social determinants of health to support safe transitions of care across the continuum for patients and families throughout Atlantic Health. +… more
 
- Outreach Development Corporation (Roosevelt, NY)
 - …Peer Coordinator/ Supervisor engages one on one with clients to integrate and coordinate care , support care transitions and support delivery of treatment for ... of community-based services and information. + Supports warm handoffs and safe transitions of care for clients moving between care settings. + Facilitates… more
 
- WelbeHealth (Elk Grove, CA)
 - …including but not limited to arranging necessary resources and services, assisting with care transitions , providing individual as well as group counseling and ... and other members of the care team to guide smooth care transitions between settings (eg, hospitals, skilled nursing facilities, home, etc.) + Initiate,… more
 
- UHS (Binghamton, NY)
 - …problem resolution, providing expert guidance and intervention. + Maintain accountability for care transitions , revising plans as needed, updating patients and ... + Coordinate and implement discharge planning for complex patients, ensuring timely transitions and appropriate linkage to post-discharge care providers and… more
 
- Idaho Division of Human Resources (ID)
 - …their communities, prevent placement disruptions, and assist with healthy Continuum Care transitions during discharge. Through immediate intervention and ... to birth, foster, post adoption and other identified caregivers during youth transitions from congregate care by ensuring they understand behavioral expectations… more