- CareOregon (Portland, OR)
- …+ Provides compassionate anticipatory guidance through decline due to chronic disease and provides high quality palliative care focused on the goals of the ... Specialties with additional board certification or board eligibility in hospice and palliative care + Drug Enforcement Administration (DEA) license + Valid… more
- Alameda Health System (San Leandro, CA)
- …classification. 1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to ... intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent...a resource and provides counseling and treatment related to palliative care or end of life planning.… more
- UnityPoint Health (Des Moines, IA)
- …+ Tighter integration with ambulatory care management team, especially with high risk , chronically ill patients. + Standardize alert to cross continuum ... testing, Outpatient Therapies (Pulmonary Rehab, Cardiac Rehab, Physical and/or Occupational Therapy), Palliative Care or Hospice. + Ensure that the patient's… more
- Texas Health Resources (Plano, TX)
- …for all assigned patients and collaborates with the interdisciplinary team to identify high risk patients whose THRIL score may not have indicated appropriately. ... care conferences for complex transitions, placement, and palliative care needs. . Reviews the Texas...(THRIL) scores daily for all assigned patients . Identify high risk patients whose THRIL score .… more
- WMCHealth (West Nyack, NY)
- … care management focused on evaluating and coordinating post-hospitalization needs of patients at risk for rehospitalization, and high risk , high cost ... of living wills and advance care planning, and, when appropriate, begins palliative care consultations. . Develops and collects data; analyzes utilization of… more
- Cleveland Clinic (Cleveland, OH)
- …will work collaboratively with multidisciplinary care team staff across the variety of care for high - risk patients. You will provide coordination of ... clinical assessments targeted outreach to a defined panel of high - risk patients (chronic illness, lack of social...and transitional care social work, rehabilitation, pharmacy, palliative care and others. + Work with… more
- Virginia Mason Franciscan Health (Lakewood, WA)
- …resources; mental health service and support coordination; grave disability, palliative care /end-of-life, and hospice patient/family support, referrals, and ... of the Masters Social Worker include: crisis intervention, patient/family intervention, high - risk screening, brief counseling, referrals for financial or other… more
- Cleveland Clinic (Cleveland, OH)
- Works collaboratively with multidisciplinary care team staff across the continuum of care for high risk patients. Provides coordination of care and ... + Conducts targeted outreach to a defined panel of high risk patients (chronic illness, lack of...and transitional care social work, rehabilitation, pharmacy, palliative care and others. + Defines and… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …the Licensed Clinical Social Worker includes crisis intervention, patient/family intervention, high risk screening, brief counseling, referring for financial or ... resources; mental health service and support coordination; grave disability, palliative care /end-of-life, and hospice patient/family support, referrals, and… more
- St. Luke's University Health Network (Quakertown, PA)
- …discharge plan as additional information is acquired. + Proactively considers options such as palliative care , homecare and other services that work to keep the ... Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle Payment Care Initiative (BPCI) notification. + Monitors risk ...to hear as it relates to normal conversations and high and low frequencies and to touch as related… more