• Texas Health Resources (Arlington, TX)
    …up appointments. Schedule/coordinate patient clinical needs to the appropriate post-acute care facility based on facilities ? clinical capabilities/offerings, ... Social Worker (SW) Care Transition Manager - Part Time...of resources; promotes cost-effectiveness & efficiency; communicates with UR nurse to confirm appropriateness Refers appropriate cases for social… more
    Upward (07/12/25)
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  • Option Care Enterprises, Inc. (Milwaukee, WI)
    …a reliable means of transportation which will enable the incumbents to travel to care facilities , home visits and multiple hospitals. If such means of ... for providing clinical education and training to ensure successful transition of patients to an Option Care ... of patients from hospital to home or alternate care settings by collaborating with facility staff,… more
    Upward (07/16/25)
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  • Northwestern Medical Center (St. Albans, VT)
    …emotional needs of patient/family when discussing and/or planning placement in a skilled nursing facility or other long-term care solution respecting ... school of licensed practical nursing or registered nursing with current licensure as a Registered Nurse...services/supports are offered Communicates with long-term care facilities and home health agencies to facilitate transition more
    Upward (07/06/25)
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  • CarePoint Health (Bayonne, NJ)
    …Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks ... to address urgent population health needs. What You'll Be Doing The Transitional Care Unit Registered Nurse (RN) is responsible for assessing, planning,… more
    Upward (07/18/25)
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  • Cedars Sinai (Los Angeles, CA)
    …and necessity of care provided in the: a) Member's home or residence b) Acute Care c) Skilled Nursing Facility d) Rehabilitation Facility e) Home ... the SNF's for continued review and follow up. Communicates transition of care to the member or...Health Care f) Custodial Care facility or Board and … more
    Upward (07/21/25)
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  • Trinity Health - IHA (Pontiac, MI)
    …experience with primary care /ambulatory care , home health agency, skilled nursing facility , or hospital medical-surgical, within the past five years. ... care coordination for patients that are experiencing a transition of care , undergoing treatment or have...program. ESSENTIAL QUALIFICATIONS: EDUCATION: Bachelor of Science degree in Nursing (BSN) or Associates Degree in Nursing more
    Upward (07/18/25)
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  • Bon Secours (Emporia, VA)
    …patient's and caregiver's treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team. ... Days (United States of America) Primary Function/General Purpose of Position The RN Care Manager is responsible for providing coordination of care for patients… more
    Upward (07/16/25)
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  • County of San Bernardino, CA (Colton, CA)
    …with transition of care (TOC) following hospitalization, ED visit, skilled nursing facility stay, etc. Communicate with primary care provider (PCP) ... Nurse . Check all that apply. Patient Education Outpatient Nursing Case Management Care Management Public/Community Health...by employer name, date(s) of employment, and type of facility . If no experience, indicate N/A. 12 Describe your… more
    Upward (07/16/25)
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  • HCA Healthcare (Dallas, TX)
    … team and in particular with the patient's physician to facilitate a successful care transition In partnership with Social Services, the RN CM is responsible ... Facilitates patient throughput with an ongoing focus on an effective care transition , quality and efficiency Documents professional recommendations, discharge… more
    Upward (07/17/25)
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  • UnitedHealth Group (Albuquerque, NM)
    …of care management for patients coming out of the hospital or skilled nursing facility . In collaboration with the team, direct and manage a complete ... life-limiting illnesses. The physician will lead the team in high-risk patient care and the transition of care management. They will specialize in medical … more
    Upward (06/28/25)
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  • Tri-County Care (Spring Valley, NY)
    …health care services; link individuals with resources Comprehensive Transitional Care Assist the individual to transition between levels of ... Description Job Overview: The role of the Care Manager is to deliver the 6 core...or after critical events, such as: hospital, school, rehabilitation facility , etc., follow up in a timely manner post… more
    Upward (07/06/25)
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  • UnitedHealth Group (Evansville, IN)
    …Coordinator- Onsite is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on ... of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and… more
    Upward (07/19/25)
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  • Carespring (Loveland, OH)
    We need a Nurse Practitioner to join our team at Carespring...their primary care providers, ensuring a smooth transition from our facility to ongoing ... the Northern Kentucky, Dayton, and Cincinnati Area. As a Nurse Practitioner, you'll evaluate patients before admission and provide...disease management in a dedicated office setting. Coordinating the transition of care and services by working… more
    Upward (07/12/25)
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  • Magellan Health, Inc. (Farmington, NM)
    …in lieu of degree., Experience in utilization management, quality assurance, home or facility care , community health, long term care or occupational ... contact to ensure services are rendered appropriately, (ie during transition to home care , back up plans,... Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State… more
    Upward (07/18/25)
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  • Lehigh Valley Health Network (Allentown, PA)
    …you should consider Lehigh Valley Health Network. Summary Provides professional nursing care through skillful assessment, diagnosis, outcomes identification, ... provides patient and family education throughout treatment course to facilitate an effective transition of care . Functions as a department team member to support… more
    Upward (07/14/25)
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  • Highmark Health (Pittsburgh, PA)
    …external resources, and patient/family capacity in order to determine safe plans for transition and care coordination. (20%) Coordinates the clinical care ... Background Clearance Certificate Preferred Nationally recognized Case Management Certification Transition planning and understanding of community and facility more
    Upward (07/18/25)
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  • Elevance Health (Norfolk, VA)
    …essential face-to-face onboarding and skill development. The Nurse Case Manager I ( Transition of Care ) is responsible for performing care management ... Anticipated End Date: 2025-07-28 Position Title: RN Nurse Case Manager I (Tidewater) Job Description: LOCATION:...in an inpatient setting, home health and/or a skilled/long-term nursing facility is a must for this… more
    Upward (07/24/25)
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  • UHS (Washington, DC)
    …with post-anesthesia care unit (PACU) nurses to ensure a seamless transition of care . Documentation and Compliance: Maintain accurate and comprehensive ... Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities , 60 outpatient and other … more
    Upward (07/15/25)
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  • AdventHealth (Orlando, FL)
    … (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities to identified age specific groups. Utilizes the ... Rollins St, Orlando, FL 32803 Unit Highlights: The Clinical Transition Unit (CTU) is a 41-bed specialized unit, stationed...completes follow up assessments, evaluates and modifies plan of care as needed. Nursing practice reflects mutual… more
    Upward (07/17/25)
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  • Trinity Health (Des Moines, IA)
    …Will Do: The Virtual Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal ... education to coordinate, implement & support the plan of care . Ensures a seamless, effective, efficient transition ...(965 beds total) Along with more than 20 additional facilities that house more than 50 primary care more
    Upward (07/16/25)
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