- 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. Job ... level of care . Oversees the coordination of care and transitions of care ...and may be modified in the future.When determining a team member 's base salary and/or rate, several… more
- UPMC (Harrisburg, PA)
- …patient outcomes throughout the continuum of care . As a Professional Staff Nurse and a member of the care delivery team , you will set the standards for ... Hospital At UPMC Community Osteopathic is a 177-bed acute care hospital with an inpatient rehabilitation unit, stroke center,...of UPMC Student Nurse Internship Program or student clinical transitions course at UPMC preferred + The individual must… more
- Lumeris (NH)
- … team . Offers members education, empowerment and consultation to help improve member care . Collaborates with care team to ensure there are no gaps in ... providers, and care givers to ensure positive care outcomes during care transitions ....Opportunities + And much more Be part of a team that is changing healthcare! ** Member Facing… more
- Commonwealth Care Alliance (Boston, MA)
- …in case review meetings and rounds as needed to enhance coordination and care transitions . * Support the identification and implementation of innovative provider ... member experience. * Address provider inquiries related to care coordination, utilization management, and program participation, collaborating with internal… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …with medical providers, nursing staff, psychiatry, and community partners to ensure safe care transitions and ongoing support beyond respite care . A ... every individual to access the highest levels of health care and every staff member to reach...documentation in the medical record, ensuring discharge plans and care coordination are available to the team .… more
- Sharecare (Tallahassee, FL)
- …The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care ... member goals, while providing Complex Case Management and/or care management support through the duration of the ... continuum. + Serve as an extension of the care team by collaborating with PCPs, specialists,… more
- US Tech Solutions (Malden, MA)
- …geriatric assessments. Development and communication (with member , caregiver and primary care physician/primary care team )of an individualized plan of ... directly interfaces with physicians, other members of the primary care team , members, and their caregivers in...and by telephone) according to the member 's care plan. Management and coordination of all transitions… 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 ... A Social Worker - Ambulatory II is an integral member of the healthcare team , providing comprehensive...available resources. Coordinates and delivers patient education, referrals, and transitions of care , including referrals for home… more
- Point32Health (MA)
- …and vendors actively involved in the member 's care . + Collaborate with member /caregiver and the facility care team to coordinate a safe transition to ... (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions...prevent re-admission. + Collaborates and liaises with the interdisciplinary care team , to improve member … more
- BrightSpring Health Services (Rutherfordton, NC)
- …is completed. + In conjunction with the member , selects members for the care team (adjusting as needed). + Conducts the Comprehensive Health Assessment on ... Coordinates, schedules, sets the agenda for and assists the member in chairing care team ...preventive manner, with quality as a goal. + Manages care transitions and transition plans. + Ensures… more