- Beth Israel Lahey Health (Needham, MA)
- …the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide direct administrative ... Planning Assistant is an active member of the care transitions team, working collaboratively with the...and external customers. **Job Description:** **Duties/Responsibilities:** + Supports the care transitions discharge functions by… more
- South Middlesex Opportunity Council (Worcester, MA)
- …and coordination with the team. + Support Engaged Enrollees during care transitions including attendance at discharge planning meetings, face to face ... The Behavioral Health Community Partner (BHCP) Care Coordinator provides CP supports and activities to...with Engaged Enrollees, under the supervision of the Clinical Care Manager, and with input from Care … more
- South Middlesex Opportunity Council (Worcester, MA)
- …Supervise Care Coordinators in supporting Engaged Enrollees during care transitions including attendance at discharge planning meetings, face to face ... ON BONUS: MA Level Clinician $5,000.00 LICSW/LMHC $8,000.00 JOB SUMMARY: The Clinical Care Manager is assigned to Enrollees. The CCM provides direct CP supports and… more
- Beth Israel Lahey Health (Boston, MA)
- …transitions , and clinical trends, as well as regulatory requirements for clinical care , discharge planning , and authorization for post-acute services. ... RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary ...identify barriers that impact the length of stay and discharge planning . The assessment should also identify… more
- Beth Israel Lahey Health (Burlington, MA)
- …care team, identifies high-risk psychosocial factors of patients/families that impact status and discharge planning . + Educates the care team on the ... a $3,500 signing bonus for our Inpatient Social Work, Care Transitions position. Important Details: Signing Bonuses...social drivers of health (SDOH) on medical treatment and care planning . + Develops a psychosocial assessment,… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Work Shift:** Evening (United States of America) Inpatient Social Work, Care Transitions **Job Description:** Assessment and Planning : As a member of the ... high-risk psychosocial factors of patients/families that impact status and discharge planning . + Educates the care...to access medications, lack of transportation, insurance status, etc. Care Coordination/ Care Transitions As a… more
- Beth Israel Lahey Health (Burlington, MA)
- …Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality ... but not limited to:** 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies...Review experience (review medical necessity and discharge planning ) **FLSA Status:** Non-Exempt **As a health care… more
- Beth Israel Lahey Health (Plymouth, MA)
- …This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing Unnecessary Re-admissions ... care + Communicates with the Care Transitions Department about incoming patients that have discharge planning needs + Assesses, coordinates and refers… more
- Beth Israel Lahey Health (Burlington, MA)
- …skills. 3. Collaborates with nurses in coordinating patient teaching as well as discharge planning . C. Improves nursing practice by assessing, planning , ... and patient/family response B. Collaborates with staff nurses on the assessment, planning , intervention, evaluation and documentation of nursing care . 1.… more
- Beth Israel Lahey Health (Stoughton, MA)
- …nursing case management or medical/surgical experience + Nursing telephone triage, Chronic Care Management (CCM), discharge planning , skilled telephonic ... providers and practice staff to ensure safe and seamless transitions of care for the patient. The...clinical and educational consultation to patients/caregivers to ensure the discharge plan of care is implemented. The… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …for high risk/ enhanced care patients, and participates in identification of, and care planning for, high risk/ enhanced care patients. + Attends clinic ... clinical skills to perform the daily operations of the Southampton Shelter/ Transitions clinic. Responsibilities for this position include planning , implementing,… more
- Point32Health (MA)
- …other rounders to primarily manage the patient during a skilled event and facilitate discharge planning back to the community. **Qualifications - what you need ... essential relationships with an aim to improve coordination of care as it relates to transitions of...care is in place, including anticipatory guidance and planning ** **Facilitating access to appropriate support models of … more
- Point32Health (MA)
- … Care Manager - Nursing (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care , ... technical concepts and principles; computer software applications + Skilled in assessment, planning , and managing member care + Advanced communication and… more
- Beth Israel Lahey Health (Jamaica Plain, MA)
- …nursing case management or medical/surgical experience 2. Nursing telephone triage, Chronic Care Management (CCM), discharge planning , skilled telephonic ... providers and practice staff to ensure safe and seamless transitions of care for the patient. The...clinical and educational consultation to patients/caregivers to ensure the discharge plan of care is implemented. The… more
- Pine Street Inn (Dorchester, MA)
- … planning and assessments, and risk response plans, as well as hospitalization discharge planning . + Meet with the Associate Directors of Scattered Site ... clinical, self-help, and peer modalities during times of crisis, care transitions , other life transitions ... planning and assessments, as well as hospitalization discharge planning , + Consult with program staff… more
- Pine Street Inn (Boston, MA)
- … planning and assessments, and risk response plans, as well as hospitalization discharge planning . + Meet with the Director of the Housing Stabilization Team ... clinical, self-help, and peer modalities during times of crisis, care transitions , other life transitions ...and training for PSI staff community. + Contribute to planning on enhancements to PSI housing programs. Strategize about… more
- Minuteman Senior Services (Burlington, MA)
- …human service programs and agencies available + Must possess knowledge of long-term care , case management, discharge planning , community resources, programs ... PASRR portal to facilitate resident identification + Participates and facilitates in discharge planning meetings with the consumer, family, nursing facility… more
- Baystate Health (Springfield, MA)
- …Health Crisis Clinicians, ED nursing, and providers to ensure appropriate care transitions and community-based services. **_Resume required with application_** ... wide range of duties involving patient evaluation, case management, treatment, and discharge planning , and documentation. The crisis clinician is responsible for… more
- Baystate Health (Springfield, MA)
- …real time mentoring and education to in-patient teams and will ensure smooth, safe transitions of care . Under the general direction of the nursing and physician ... to, facilitating multidisciplinary team rounding, developing and managing the goals of care , patient education, and facilitating discharge . A transplant nurse… more
- State of Massachusetts (Brockton, MA)
- …treatment planning , risk mitigation, skill building, support through life & care transitions , health monitoring, integration with care coordination ... in the community. * Conducts ongoing assessments; actively participates in discharge planning ; assumes primary responsibility for developing, writing,… more