• RN Care Coordinator

    Highland Hospital (Rochester, NY)
    …for coordination of interdisciplinary care planning to achieve timely and safe discharge to home, skilled nursing facility or other area necessary. Essential Job ... 2. Identifies factors critical to achieving required outcomes for discharge , post-hospitalization recovery and health maintenance. 3. Ensures interdisciplinary… more
    Highland Hospital (12/05/25)
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  • Masters Level or Licensed Inpatient Clinician…

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …Provide timely psychosocial assessments, treatment plans, treatment plan updates, and discharge planning services to patients. + Demonstrate strong group therapy ... members and collateral agencies about the patients' progress in treatment, discharge planning, and progress. + Coordinate multi-system meetings for our patients… more
    Westborough Behavioral Healthcare Hospital (12/05/25)
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  • Social Worker

    UnityPoint Health (Delhi, IA)
    …+ Maintains quality of care related to the agency's expectation for quality discharge planning services. + Assesses patient/family discharge needs upon referral ... on current resources available. + Clearly communicates securing funding, discharge planning and assist client concerns in a timely...client concerns in a timely manner. + Documents patient discharge plan in a centralized area in the electronic… more
    UnityPoint Health (12/05/25)
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  • Registered Nurse - Gastroenterology (Full Time)

    Beth Israel Lahey Health (Cambridge, MA)
    …record. + Ensures that patients and significant others receive education regarding discharge and the community services available. 4. Works with the CareTeam members ... case managers, physicians and other departments to ensure appropriate LOS and discharge planning. + Coordinates timely completion of procedures, tests and consults… more
    Beth Israel Lahey Health (12/05/25)
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  • Case Manager PRN Weekday

    Select Medical (St. Louis, MO)
    …patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the ... patient and provides intervention as part of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/… more
    Select Medical (12/05/25)
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  • Transition of Care Coach (RN)

    Molina Healthcare (Nampa, ID)
    …+ Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, ... all members while in the hospital and home visits of high-risk members post- discharge . + Coordinates care and reassesses member's needs using the Coleman Care… more
    Molina Healthcare (12/04/25)
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  • Intensive Community Manager, Complex Care (RN)

    ChenMed (Cleveland, OH)
    …through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this role adheres to strict departmental ... integration of social services/case management functions into the patient care, discharge and home planning processes with other departments, external service… more
    ChenMed (12/04/25)
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  • Transition Coordinator

    OLV Human Services (Buffalo, NY)
    …The Transition Coordinator is responsible for aiding and expediting a client's successful discharge to a lower level of care, most often back to their family. ... and family upon admittance and establishing goals and barriers in relation to discharge . The Transition Coordinator is responsible to identify resources in the home… more
    OLV Human Services (12/04/25)
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  • Social Worker / Clinical Program Therapist 2

    State of Minnesota (Alexandria, MN)
    …which treatment focuses on rapid assessment, stabilization, patient education, and discharge planning involving community support resources, with the overall goal of ... one-on-one with patients to provide support, psychoeducation, address barriers to discharge , and care planning + Co-facilitates group therapy to provide… more
    State of Minnesota (12/04/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Lenoir City, TN)
    …with the plan of care providing education on medications, treatment plan, discharge instructions and modalities as necessary to promote health and continuity of ... and documents resources needed to accomplish goals related to the Care Management discharge plan. + When necessary, serves as the "brokering" agent to secure… more
    Covenant Health Inc. (12/04/25)
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