• Christus Health (Dallas, TX)
    …advocate, providing proactive outreach to CHRISTUS Health value-based payer patients. The RN Navigator makes recommendations to primary care providers regarding ... services. The RN Navigator facilitates communication and coordinates care with physicians, the providers' clinic, hospital facilities, family, caregivers, and… more
    Talent (10/13/25)
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  • Nurse Practitioner/Physician Assistant…

    Stanford Health Care (Palo Alto, CA)
    …or the Commission on Collegiate Nursing Education (CCNE). **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... Practice Provider (APP) plays a pivotal role in the Transitions of Care Program ( TOC ),...to help prevent avoidable readmissions. Working closely with the TOC Medical Director, Nurse Manager, and Program… more
    Stanford Health Care (08/26/25)
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  • RN Care Manager - Transition…

    Evergreen Health (Buffalo, NY)
    …us to provide culturally competent care to everyone in our community . The RN Care Manager - Transition of Care supports implementation of the patient's ... plan and works towards resolution of patient needs/barriers. The RN Care Manager facilitates communication between patients,...Qualified Candidate will have a current license as a Registered Nurse in New York State, with… more
    Evergreen Health (10/09/25)
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  • Transition of Care Integration Specialist…

    Sea Mar Community Health Centers (Seattle, WA)
    …Specialist provides support with a focus on the following areas: + Medication self-management: The TOC RN will act as a resource to the Integration Specialist as ... Centers is looking for a full time Transition of Care ( TOC ) Integration Specialist for our ...the Integration Specialists are expected to complete outreach and transitions of care activities for all patients… more
    Sea Mar Community Health Centers (09/11/25)
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  • RN Transition of Care Coach field…

    Molina Healthcare (Snohomish, WA)
    …+ Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline. + Educates and supports member ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
    Molina Healthcare (10/09/25)
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  • Telephonic Transition of Care Coach…

    Molina Healthcare (El Paso, TX)
    …+ Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline. + Educates and supports member ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
    Molina Healthcare (09/27/25)
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  • Transition of Care Coach ( RN

    Molina Healthcare (NV)
    …+ Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline. + Educates and supports member ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
    Molina Healthcare (10/12/25)
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  • Transition of Care Associate, Licensed…

    CVS Health (NJ)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments… more
    CVS Health (09/18/25)
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