• 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
    Talent (11/07/25)
    - Save Job - Related Jobs - Block Source
  • 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 (11/05/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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 (10/03/25)
    - Save Job - Related Jobs - Block Source
  • 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 (11/14/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Discharge Planning Coordinator, LVN…

    University of Southern California (Los Angeles, CA)
    Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case ... standard work and guidelines including the Triad Model of Discharge Planning . Support transitions of care...Discharge Screens and clinical stability for discharge / transition to the next appropriate level of care more
    University of Southern California (11/19/25)
    - Save Job - Related Jobs - Block Source
  • ED RN Case Manager - UR & Discharge

    Beth Israel Lahey Health (Plymouth, MA)
    …This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing Unnecessary Re-admissions ... management and administration for evaluation and process improvement. **B. Discharge Planning ** Creates and coordinates the overall transition plan of … more
    Beth Israel Lahey Health (10/30/25)
    - Save Job - Related Jobs - Block Source
  • 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 (11/18/25)
    - Save Job - Related Jobs - Block Source
  • 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 (11/13/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse (RN) Care

    Texas Health Resources (Arlington, TX)
    …3 Years Staff Nurse at an acute care hospital Req and 1 Year discharge planning / care management Pref 1 year inpatient acute care experience ... or other transitional care visit prior to discharge . Identifies transition needs and discusses funding...acute care hospital Req and 1 Year discharge planning / care management Pref 1… more
    Texas Health Resources (11/11/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Clinical Care Transition Specialist…

    Option Care Health (Fort Collins, CO)
    …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 (11/19/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Care Transition Educator…

    Option Care Health (Morganton, NC)
    …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 (11/08/25)
    - Save Job - Related Jobs - Block Source
  • 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 (11/08/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager - Integrated…

    McLaren Health Care (Pontiac, MI)
    …will enhance the patient's ability to successfully transition along the care continuum. 7. Performs discharge planning coordination/referral by making ... with 24 hrs. of admission. assessments for readmission and transition planning . 2. Works collaboratively with the...5. Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies… more
    McLaren Health Care (11/15/25)
    - Save Job - Related Jobs - Block Source
  • Transition of Care Coach (RN)

    Molina Healthcare (Albuquerque, NM)
    …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 (11/13/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Care Manager…

    Catholic Health (Buffalo, 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 (10/08/25)
    - Save Job - Related Jobs - Block Source