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CVS HealthNew
Overview
The Transition of Care Associate coordinates care for members experiencing significant health changes to ensure seamless transitions between care settings. Responsibilities include conducting post-discharge questionnaires, managing medications, and collaborating with interdisciplinary teams to reduce hospital readmissions.
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Compensation
$21 - $49 / HOUR
Posted
New
Summit HealthNew
The Registered Nurse will assist physicians and staff with daily patient care coordination, acting as a liaison between patients, staff, and physicians while maintaining efficient patient flow. Key duties include delivering direct patient care within licensure scope, collecting and labeling lab specimens, prioritizing care based on physician orders, and accurately documenting all activities in the EHR.
$40 - $50 / HOUR
Cleveland Clinic
The RN Care Coordinator will work with a multidisciplinary team to develop and implement care plans for high-risk pediatric endocrinology patients. They are responsible for conducting clinical assessments, providing patient education, and managing transitions of care to improve patient outcomes.
Salary not listed
2 days ago
Nebraska Medicine
The role involves coordinating a patient care delivery system for a designated group of patients to achieve high-quality, cost-effective outcomes across the continuum of care, aiming to optimize the patient's health status. This includes performing duties in an ambulatory setting and assisting complex patients during transitions of care across multiple settings while providing targeted interventions to prevent hospitalizations and emergency room visits.
Summit Health
The Registered Nurse acts as an integral partner in a multidisciplinary team, providing individualized, team-based care under the direction of providers and supervisors. Responsibilities include leadership and clinical expertise in assessing, planning, educating, and delivering care according to professional nursing standards and patient needs.
$44 - $55 / HOUR
3 days ago
Trinity Health
The Behavioral Health Nurse provides comprehensive assessments, support, and care coordination for patients across inpatient and outpatient settings. They work collaboratively with multidisciplinary teams to ensure smooth transitions of care and provide education to patients and the community.
7 days ago
Brightli
Coordinates safe and timely transitions of care for clients from admission through post-discharge follow-up. Develops individualized safety plans and links clients to appropriate community, residential, and outpatient services.
14 days ago
The Discharge Planner coordinates safe and timely transitions of care for clients in behavioral health crises from admission through post-discharge follow-up. This includes developing individualized safety plans, linking clients to community resources, and collaborating with multidisciplinary teams to align care with treatment goals.
The Registered Nurse will assist physicians with patient care coordination, maintain efficient patient flow, and deliver direct clinical care within the scope of licensure. Responsibilities include collecting lab specimens, administering injections, performing telephone triage, and documenting all patient interactions in the EHR.
Community Health Centers of the Rutland Region
The Clinical Community Health Worker coordinates care for patients discharged from inpatient or emergency settings by scheduling follow-ups and facilitating communication. They also provide patient education, perform outreach, and assist with social determinants of health needs to support wellness goals.
$19 - $33 / HOUR
Piedmont Healthcare Inc.
The heart failure nurse provides comprehensive nursing care by assessing, planning, implementing, and evaluating patient needs within the Heart Failure Integrated Practice Unit. They are responsible for maintaining standards of practice and coordinating patient care activities to ensure quality outcomes for patients and their support systems.
17 days ago
The heart failure nurse provides direct nursing care by assessing, planning, implementing, and evaluating patient needs within the inpatient unit. They are responsible for maintaining standards of practice and coordinating care activities for assigned staff to ensure quality outcomes.
Hackensack Meridian Health
The role involves performing comprehensive history and physical assessments, ordering and interpreting diagnostic studies, and managing general medical/surgical conditions for stroke patients using a patient-centered coordinated care model. Responsibilities also include prescribing medication safely, evaluating transition of care planning, and serving as a clinical resource and advocate for patients and families.
$72 / HOUR
St. Croix Hospice
The Hospice Transition Nurse acts as a resource for patients, families, and healthcare staff, managing referrals and providing education about hospice services. They also assist with patient transitions from hospitals to home care and mentor new nurses.
$95,000 - $100,000 / YEAR
24 days ago
Cedars-Sinai
Oversee daily organization and supervision of transitions of care medication management activities. Provide clinical and drug distribution services to ensure safe patient transitions.
$68 - $108 / HOUR
27 days ago
Molina Healthcare
Facilitates the transition of members from hospital admission to other settings to reduce readmissions through a 30-day oversight program. Coordinates care by collaborating with providers, conducting visits, and educating members on the Transition of Care Pillars.
1 month ago
Albany Medical Center
The Nurse Practitioner is responsible for the assessment, diagnosis, and management of patients with specialized health needs in a Transition of Care Clinic. They collaborate with physicians and healthcare providers to implement care plans and maintain specialty practice standards.
The Nurse Practitioner is responsible for the assessment, diagnosis, and management of patients with specialized health needs in a Transition of Care Clinic. This includes ordering diagnostic tests, implementing care plans, and collaborating with physicians to provide family-centered care.
Sentara Health
The Integrated Nurse Case Manager is responsible for case management services, developing and revising care plans to optimize member health care. They perform clinical assessments and coordinate care for members with chronic and complex conditions.
Children's Healthcare of Atlanta
The Pharmacist Specialist ensures safe, efficacious, rational, and cost-effective patient medication therapy by influencing physician resource use and monitoring drug effectiveness across assigned patient care teams. Responsibilities include performing production and distributive pharmacy tasks, providing drug information, participating in policy development, and serving as a preceptor and clinical leader.