• Tenethealth (Tucson, AZ)
    …-Establishing daily goals with the patient and family -Formulating a plan of care - Transition or Discharge planning Implementation - Nursing care is ... out physician and nursing orders. Assesses and coordinates patient's discharge planning needs with members of the...for the patient during hospitalization and in preparation for discharge is assured. Care is documented in… more
    Talent (09/21/25)
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  • Geisinger (Scranton, PA)
    …of care .Reinforces patient and family education, family needs and discharge planning throughout hospitalization.Provides direct patient care including, ... Kayla Boslough at ###@geisinger.edu.Job Description:Contributes data to the assessment, planning , implementation, and evaluation of patient care . Promotes… more
    Talent (09/13/25)
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  • Geisinger (Wilkes-Barre, PA)
    …of care .Reinforces patient and family education, family needs and discharge planning throughout hospitalization.Provides direct patient care including, ... Senior Nurse Recruiter at ###@geisinger.eduJob Description:Contributes data to the assessment, planning , implementation, and evaluation of patient care . Promotes… more
    Talent (09/13/25)
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  • Tenethealth (Worcester, MA)
    …by being a resource to Tenet performance standards. Responsibilities Coordination of complex discharge planning . Educates and mentors new social work staff. Acts ... Eligibility Saint Vincent Hospital offers a whole new experience in health care . By combining our advanced, state-of-the-art facility with our commitment to… more
    Talent (08/28/25)
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  • Tenethealth (Framingham, MA)
    …individual's responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) ... the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to… more
    Talent (09/15/25)
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  • Tenethealth (Palm Springs, CA)
    …individual's responsibility will include the following activities: Complex psycho-social transition planning assessment and reassessment and intervention, ... coordination, d) implementation or oversight of implementation of the transition plan, Leading and/or facilitating multi-disciplinary patient care conferences… more
    Talent (09/15/25)
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  • Tenethealth (Bryan, TX)
    …communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care , enhance the consumer and ... wide use and to make recommendations as appropriate. Participate in the planning , development and implementation, and ongoing success of the Clinical Documentation… more
    Talent (09/15/25)
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  • Transition of Care CM - Registered…

    CVS Health (Oklahoma City, OK)
    …TCM role is to support members and staff in transition from care settings, discharge planning processes, including identifying and addressing barriers, ... medical directors, and hospitalists (where applicable) to facilitate safe and timely discharge , appropriate follow-up care , and next steps. + Coordinate with… more
    CVS Health (09/17/25)
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  • BH Care Manager

    WellSense (Boston, MA)
    …the management of complex and non-complex cases, coordinating transition of care , discharge planning support, conducting assessments and developing plans ... input, and disposition as well as input from the care team** + **Facilitate transition of ... team members, providers and state agencies in treatment planning and care coordination activities ensuring effective… more
    WellSense (08/30/25)
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  • Transition Care Manager

    AmeriHealth Caritas (Reading, PA)
    Transition Care Manager is responsible for completing preventative multidisciplinary discharge planning for plan members presenting to the Emergency Room ... AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge ... Care Manager will assess and process discharge planning needs across all disciplines, including… more
    AmeriHealth Caritas (06/26/25)
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  • Clinical Program Coordinator RN, Medicare…

    Providence (OR)
    …Washington State + Case Management Experience (EX. Triage and Referral, Transition of Care Planning , Discharge Planning , Coordination of Outpatient ... members to manage their disease + Case management services include: triage and referral, transition of care planning , end of life care planning ,… more
    Providence (08/23/25)
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  • Medical Social Worker - Integrated Care

    Dayton Children's Hospital (Dayton, OH)
    …staff, to effect overall care coordination for the transition of care and complex discharge planning process. Through psychosocial assessment and ... care . Participates as a professional team member in patient care planning along with the hospital and community agency personnel. Provides education and… more
    Dayton Children's Hospital (07/29/25)
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  • Discharge Planning Assistant,…

    Beth Israel Lahey Health (Burlington, MA)
    …functions needed in organizing the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide ... job, you're making a difference in people's lives.** The Discharge Planning Assistant is an active member...Planning Assistant is an active member of the care transitions team, working collaboratively with the Inpatient RN… more
    Beth Israel Lahey Health (08/01/25)
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  • Discharge Planning Associate, (RN…

    UPMC (Pittsburgh, PA)
    …Shadyside is looking for a Discharge Plan Associate to support their Clinical Care Coordination and Discharge Planning department! The role of a ... candidate will be responsible for the safe and smooth transition of our patients to their homes or other...care in either or both of these settings. Discharge Planning Experience: + Coordination of a… more
    UPMC (09/20/25)
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  • Discharge Planning Associate

    UPMC (Altoona, PA)
    …case management, or care coordination? UPMC Altoona is seeking a full-time Discharge Planning Associate to join the Clinical Care Coordination and ... care coordination and developing more efficient, progressive discharge planning processes, and let UPMC help...health that may elevate the risk of a poor transition . + Complete detailed assessment on every patient in… more
    UPMC (09/13/25)
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  • ED RN Case Manager - UR & Discharge

    Beth Israel Lahey Health (Plymouth, MA)
    …This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing Unnecessary Re-admissions ... management and administration for evaluation and process improvement. **B. Discharge Planning ** Creates and coordinates the overall transition plan of … more
    Beth Israel Lahey Health (08/10/25)
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  • Discharge Planning Associate UPMC

    UPMC (Carlisle, PA)
    …being served required. No license required.Experience: No experience in discharge planning / care coordination. Clinical/patient-facing experience preferred. ... **UPMC is hiring a Discharge Planning Associate! This is a...of medical and social factors, determine patient's capacity for self- care , identify support systems, outline barriers to discharge more
    UPMC (08/08/25)
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  • Discharge Planning Associate, RN…

    UPMC (Cumberland, MD)
    …committed to improving care coordination and developing more efficient, progressive discharge planning processes, and let UPMC help you succeed through ... rotating weekend and holiday coverage. If you possess previous Discharge Planning skills and experience, we highly...health that may elevate the risk of a poor transition . + Manage cost of care with… more
    UPMC (08/16/25)
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  • Discharge Planning Associate

    UPMC (Erie, PA)
    …passionate about improving patient care and making a meaningful impact in the discharge planning process, we encourage you to apply today! If you have any ... a multidisciplinary team to ensure a smooth and successful transition from hospital to home or other care...license required). + Experience: + No prior experience in discharge planning or care coordination… more
    UPMC (08/27/25)
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  • Medical Social Services Advocate (MSW or BSW)…

    Logan Health (Kalispell, MT)
    …and resources to patients and their families + Facilitate Care Coordination and Discharge Planning : Oversee the transition of care from inpatient ... Management team and will play a vital role in discharge planning for our patients. + Provide...in interdisciplinary team meetings to develop and implement effective discharge plans, fostering communication and collaboration across care more
    Logan Health (09/20/25)
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