- Fallon Health (Quincy, MA)
- …product + Monitors the daily inpatient census and notifies all members of the care team during member care transitions including any discharge planning ... the interdisciplinary team in identifying and addressing high risk members and transitions of care + Serves as an advocate for members to ensure they receive… more
- Houston Methodist (The Woodlands, TX)
- …position is responsible for comprehensively planning for case management which includes care transitions and discharge planning of a targeted patient population ... team, patients, families and payers to ensure safe and timely transitions of care . Facilitates clinical conversations with payers to expedite authorization for… more
- Providence (Fortuna, CA)
- …management, discharge planning, and social work services. You'll ensure seamless care transitions , optimal patient outcomes, and adherence to regulatory ... relationships with physicians, nursing, and other departments to guarantee seamless care transitions . + **Performance Analyst:** Track and assess utilization… more
- Bon Secours Mercy Health (Richmond, VA)
- …be utilized at points of level of care change, staff change, as well as care transitions . + Documentation will reflect plan of care to address post ... coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the RN … more
- Highmark Health (Dover, DE)
- …the most cost-effective way to address those needs. This includes ensuring appropriate care transitions between home, community, and community-based care ... services, Medicaid and DSNP benefits and assess appropriateness of care and services in community. + Facilitate transitions... care and services in community. + Facilitate transitions to alternate care settings such as… more
- Northwell Health (Mount Kisco, NY)
- …planning for complex patients identifying social barriers and linkage to services supporting care transitions and safe discharge back to the community. WILL ... to meet patients' level of care . Oversees the coordination of care and transitions of care processes and outcomes across the continuum and provides… more
- Washington County Hospital and Clinics (Washington, IA)
- …reduces avoidable readmissions and promotes safe, efficient, and patient-centered care transitions . DUTIES/RESPONSIBILITIES (include but are not limited ... Job Shift Day Category Health Care Description SUMMARY The Transitional Care Utilization RN coordinates seamless patient transitions across the continuum of… more
- Kaleida Health (Buffalo, NY)
- …guidance for critical areas of Care Management (CM), Discharge Planning and Post-Acute Care Transitions . The VP will oversee the Care Management/ Care ... **VP Care Management Post-Acute Care Transition** **Location:** **Buffalo General Medical Center** **Location of Job** **: US:NY:Buffalo** **Work Type** **:… more
- Nuvance Health (Danbury, CT)
- …successful outcomes. Simultaneously, they drive the development and implementation of evidence-based care pathways, enhancing care transitions and optimizing ... * *Post-Acute Care Coordination:* Collaborate with post-acute care providers to ensure smooth transitions of...with post-acute care providers to ensure smooth transitions of care , prevent readmissions, and optimize… more
- UNC Health Care (Chapel Hill, NC)
- … to ensure a holistic approach. Plans should facilitate optimal patient care transitions to avoid unnecessary hospitalizations or emergency department ... families on available resources. Coordinates and delivers patient education, referrals, and transitions of care , including referrals for home health, hospice,… more
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