, we want to hear from you. As a Transitional Care Associate, you work with our intake department assisting with new referrals... identified in the inpatient discharge care plan for management of Banner patients across the healthcare continuum. CORE...
, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute..., SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute...
or not). Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation... to come to the office—in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers...
, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute..., SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute...
care on assigned units on 24-hour basis. Responsibilities: Adds value as a key member of management; understands the... is required. • If assigned to ED, Surgical Services, Sedation Services, Transitional Care/Epilepsy Monitoring Unit, and Transport, within 1 year...
, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute..., SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute...
, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute..., SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute...
not have indicated appropriately; implements interventions according to risk score. 7. Identifies transitional care barriers... length of stay and collaborates with other key team members to manage transitional care activities and communicate vital...
transitional care management calls for practice patients discharged from hospitals and emergency rooms in the area and determines... the need for short-term outpatient follow-up. Provides patient education for self-care chronic disease management (in...
pharmacists on medication management Complete acute, follow up, advanced care planning, discharge, and wellness visits... as necessary Implement an individualized plan of care for patients' goals Make recommendations on transitional care, DME, home...