• Licensed Transition of Care

    Elevance Health (Leesburg, VA)
    …background is required. **Preferred Qualifications** + Experience with Transition of Care including discharge planning , and wrap-around services for ... the needs of the member and incorporates that into care planning . + Works closely with various...system is extremely helpful for this role. + Case management/ discharge planning with a broad range of… more
    Elevance Health (07/22/25)
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  • Transition Guide

    Intermountain Health (Salt Lake City, UT)
    …or hospital setting + Understanding of medical terminology. + Experience in patient care management, transition / discharge planning , medical assistance, ... and empower youth to develop skills that will help them transition to adult care successfully. **Skil** **ls** + Interpersonal Communication + Organization +… more
    Intermountain Health (07/31/25)
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  • Care Manager

    AmeriHealth Caritas (Dublin, OH)
    …and/or pediatric patients with behavioral and physical health disorders, maternal health, oncology, transition of care / discharge planning within an acute ... Members during transitions of care through assessment, coordination of care , education of the discharge plan of care , referrals, and evaluation of the… more
    AmeriHealth Caritas (06/13/25)
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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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  • 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 (05/22/25)
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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

    UPMC (Harrisburg, PA)
    **UPMC is hiring a Discharge Planning Associate for our Clinical Care Coordination team in Harrisburg! This is a full time, day shift position with a every ... being served required. No license required. Experience: No experience in discharge planning / care coordination. Clinical/patient-facing experience preferred.… more
    UPMC (07/31/25)
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  • Registered Nurse - Primary Care

    Veterans Affairs, Veterans Health Administration (Columbus, OH)
    …BLS Certification is required. Responsibilities Functions or Scope of Assigned Duties: The Discharge Planning Care Coordinator Registered Nurse (RN) executes ... to management of complex patient care . The Discharge Planning Care Coordinator Registered...assessments, identification of barriers, and activities required to successfully transition the patient in and out of the acute… more
    Veterans Affairs, Veterans Health Administration (07/24/25)
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  • Social Worker - Discharge Planning

    ProMedica Health System (Toledo, OH)
    …have Social Determinants of Health (SDOH) needs, and/or require assistance with transitions of care or discharge planning . In addition, the Social Worker/ ... POSITION SUMMARY The Social Worker/ Discharge Planning Coordinator intervenes with patients...Transition Rounds (DTRs) and contributes to discussion of discharge needs. 9. Identifies transitional care barriers… more
    ProMedica Health System (07/04/25)
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  • Social Worker (SW) Care Transition

    Texas Health Resources (Arlington, TX)
    …Req **Experience** 3 Years in hospital/medical social work Pref and 1 Year discharge planning / care management Pref **Licenses and Certifications** LMSW - ... 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 (05/30/25)
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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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  • Care Transitions Discharge

    Beth Israel Lahey Health (Cambridge, 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 (07/03/25)
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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 (07/25/25)
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  • Clinical Care Transition Specialist…

    Option Care Health (Wichita, KS)
    …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 (08/01/25)
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  • Care Transition Manager, RN - PRN,…

    Texas Health Resources (Plano, TX)
    ** Care Transition Manager RN - Case Management**... care hospital required and . One year discharge planning / care management preferred . RN ... on patients within 24 hours of identification and begins discharge planning . . Interviews and assesses patients...Identifies transition needs and discusses funding of post- transition care with patients and caregivers. .… more
    Texas Health Resources (07/11/25)
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  • Clinical Care Transition Educator…

    Option Care Health (Nashville, TN)
    …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 (08/01/25)
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  • Social Worker II - Transition

    Houston Methodist (Houston, TX)
    …picture of the patient for opportunities for care facilitation and needs for discharge planning . Works with case manager for routine discharge and ... goals with patient and family, providing appropriate resources, incorporating planning for care after discharge ....concerning safety data to improve outcomes and the safe transition of care through effective patient handoffs.… more
    Houston Methodist (07/12/25)
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  • Registered Nurse Care Management…

    Catholic Health (Buffalo, NY)
    …foundational case management and discharge planning principles, the RN Care Manager, Transition of Care engages the patient/patient representative in ... 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 (07/02/25)
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  • Transition of Care Integration…

    Sea Mar Community Health Centers (Seattle, WA)
    …open communication, and shared decision making with stakeholders. + Patient-centered care planning to include motivational interviewing and other techniques ... home. The TOC Integration Specialist collaborates with hospital staff, discharge planners as well as Care facilities...to navigate different systems in relation to managing patients care transition needs + Ability to understand… more
    Sea Mar Community Health Centers (06/12/25)
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  • Senior Care Manager Transition

    Centene Corporation (Springfield, IL)
    …management** + **Background in an inpatient hospital setting** + **Strong understanding of care transitions, discharge planning , and community resources** + ... of medical and supporting services across the continuum of care for post- discharge members, promoting quality, cost...care management and coordination teams to identify complex care transition support services. + Evaluates the… more
    Centene Corporation (07/24/25)
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