- AdventHealth (Shawnee, KS)
 - …a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis ... plans and initiation of the implementation of the transitions of care plans prior to the... physician identification and scheduling of follow-up PCP and specialist appointments for post hospital follow up care… more
 
- AdventHealth (Bolingbrook, IL)
 - …a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis ... plans and initiation of the implementation of the transitions of care plans prior to the... physician identification and scheduling of follow-up PCP and specialist appointments for posthospital follow up care .… more
 
- University of Washington (Seattle, WA)
 - … care patients during in-person and virtual interactions + Support patient care transitions from recent hospital or emergency department discharges, specialty ... care clinics. Our team collaborates across the care continuum to ensure safe and effective transitions...care management experience + Certification as a Diabetes Care & Education Specialist **ABOUT HARBORVIEW MEDICAL… more
 
- Trinity Health (Des Moines, IA)
 - …and documents thoroughly. + **Communication** : Effectively communicates patient status and care needs across teams and during shift transitions . + **Clinical ... initial and ongoing patient assessments; develops individualized, outcome-based plans of care . + ** Care Implementation** : Coordinates and delivers patient… more
 
- Corewell Health (Royal Oak, MI)
 - Highly preferred ICU/Critical care experience Area of coverage- Surgical Services. POHA/PACU Department coverage needed: + 3-5 years of experience in Peri anesthesia ... nursing, critical care or ICU (depending on the area of responsibility)....and assists others in professional role development, practice role transitions , and succession planning. Collaborates with Community Education programs… more
 
- Armed Services YMCA of The USA (Arlington, VA)
 - …frequently with the Executive Director, ADs and the Training and Curriculum Specialist for guidance on strategies to further assist team members' professional ... both large and small groups, indoor and outdoor play, and timely and predictable transitions . + Develop and implement lesson plans based on the ELM curriculum. +… more
 
- Evergreen Health (Buffalo, NY)
 - …with patients as needed after emergency department visits. Including, develops plans of care for hospital transitions to identify factors to decrease the ... self-expression. We recognize that our diverse workforce allows us to provide culturally competent care to everyone in our community . The RN Care Manager -… more
 
- Fallon Health (Foxborough, MA)
 - …ensure a cost effective quality outcome o Performs medication reconciliations o Performs Care Transitions Assessments - per Program and product line processes o ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...with the member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners,… more
 
- Catholic Health Initiatives (Houston, TX)
 - …different EBM guidelines in the ambulatory setting as well as facilitating seamless transitions of care between clinic and post-acute settings and between clinic ... TX area.** With guidance from the local market leadership, the RN Continuing Care Coordinator works collaboratively with physicians, staff and other health care … more
 
- Intermountain Health (Las Vegas, NV)
 - …around preventative care and chronic disease management, referral management and transitions of care . The embedded/centralized care guide leads the ... **Job Description:** The Clinic Care Guide serves as a healthcare navigator for...+ Overcoming barriers to follow up appointments + Making specialist appointments + Obtaining medical records from specialists, previous… more
 
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