• Carondelet St. Marys Hospital (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
    Joboru (12/03/25)
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  • Carle Health (Urbana, IL)
    …initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute ... challenging cases and scope of practice issues. Coordinates the transition from inpatient care to post-hospital ...and post- hospital providers to ensure responsive and appropriate care is provided post- discharge . Documents plan of… more
    Joboru (12/05/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …is on stabilization of symptoms, brief treatment modalities, medication interventions and discharge planning . Programs for Children and Adolescents: This is an ... and to engage in support services so they can effectively transition to outpatient care and to prevent inpatient hospitalizations. This role is a 4-10s… more
    Joboru (12/04/25)
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  • Carle Health (Peoria, IL)
    …the learning needs of the patient and family. Initiates referrals and discharge planning , actively coordinates the plan utilizing the interdisciplinary approach. ... patient-centered care across the continuum to support the successful transition of patients to other healthcare delivery systems or their home communities.… more
    Joboru (12/02/25)
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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 (11/28/25)
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  • Discharge Planner-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …accredited college or university. Minimum Experience: Three(3) years' experience in discharge planning , transition of care , or related experience in the ... Position Summary: Provides direct and indirect discharge planning services to assigned patient care units...discharge planning services to assigned patient care units including pre-hospital services, and in-hospital service. Assists… more
    Covenant Health Inc. (12/05/25)
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  • Discharge Planner - Transition

    Northeast Alabama Regional Medical Center (Anniston, AL)
    Licensed Social Worker or LPN This position provides Discharge Planning Services for all Inpatient Admissions. The process of completing the Discharge Plan ... assessment documents Document in the Electronic Medical Record all relevant Discharge Planning work Make Referrals to appropriate Post-Acute Service based… more
    Northeast Alabama Regional Medical Center (11/07/25)
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  • Clinical Program Coordinator RN, Medicare…

    Providence (Beaverton, 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 (10/24/25)
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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 (10/24/25)
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  • Discharge Planning Associate…

    UPMC (Erie, PA)
    Full-Time Discharge Planning Associate - Clinical Care Coordination (UPMC Hamot) We are seeking a Full-Time Discharge Planning Associate to join our ... health that may elevate the risk of a poor transition . + Complete detailed assessment on every patient in...No license required. + Experience: + No experience in discharge planning / care coordination. + Clinical/patient-facing… more
    UPMC (12/03/25)
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  • Discharge Planning

    UPMC (Mechanicsburg, 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 at our West...of medical and social factors, determine patient's capacity for self- care , identify support systems, outline barriers to discharge more
    UPMC (12/03/25)
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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 (10/30/25)
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  • Discharge Planning Associate-Case…

    UPMC (Harrisburg, PA)
    …being served required. No license required. Experience: No experience in discharge planning / care coordination. Clinical/patient-facing experience preferred. ... Harrisburg, West Shore and Community Osteopathic. Purpose: In conjunction with the Discharge Planning team, the Associate coordinates the appropriate support… more
    UPMC (10/28/25)
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  • Social Worker (SW) Care Transition

    Texas Health Resources (Arlington, TX)
    …with the objective of enhancing quality clinical outcomes and safe discharge planning to the appropriate levels of care for high-risk patient populations. ... or other transitional care visit prior to discharge . Identifies transition needs and discusses funding...Years in hospital/medical social work Pref and 1 Year discharge planning / care management Pref Licenses… more
    Texas Health Resources (11/26/25)
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  • Clinical Care Transition Specialist…

    Option Care Health (Detroit, MI)
    …and communicates this to patient registration department. + Proactively initiates care transition coordination with referral sources and internal partners ... the patient and proper assessment and treatment process and transition to home care . + Serves as...QUALIFICATIONS Hands on home or alternate site infusion or discharge planning experience Experience growing service provider… more
    Option Care Health (12/06/25)
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  • Clinical Care Transition Educator…

    Option Care Health (Tampa, FL)
    …Qualifications & Interests** + Hands on home or alternate site infusion or discharge planning experience + Experience growing service provider partnerships Due ... for providing clinical education and training to ensure successful transition of patients to an Option Care ...facility staff, providers, and internal teams to ensure timely discharge , therapy education, and continuity of care .​… more
    Option Care Health (12/05/25)
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  • RN Transition of Care Coach remote…

    Molina Healthcare (Spokane, WA)
    …provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to ... of MS Suite, organized and analytical thinking. Experience with care coordination and discharge planning ...care and reassesses member needs using the Coleman Care Transition model post- discharge . *… more
    Molina Healthcare (12/05/25)
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  • LPN Transition of Care Coach field…

    Molina Healthcare (Everett, WA)
    …Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to ... care and reassesses member needs using the Coleman Care Transition model post- discharge . *...with at least 1 year of experience in hospital discharge planning , care management or… more
    Molina Healthcare (12/03/25)
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  • Registered Nurse Care Manager…

    Catholic Health (Kenmore, NY)
    …to patients and families in the hospital setting utilizing foundational case management and discharge planning principles, the RN Care Manager engages the ... continuum and identifies and removes barriers for delays of discharge . The RN Care Manager - Transition...of a Case Manager or Disease Manager, Population Health, Discharge Planning or Chronic Care more
    Catholic Health (12/03/25)
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  • Discharge Plan Manager-Clinical Care

    UPMC (Lititz, PA)
    …and active Registered Nurse license. At least one year of experience in discharge planning / care coordination required.OR2) Bachelor's degree in social work ... health that may elevate the risk of a poor transition . + Complete detailed assessment on every patient in...degree preferred. At least one year of experience in discharge planning / care coordination required.KNOWLEDGE AND… more
    UPMC (10/22/25)
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