Discharge Planner - San Diego
1 month ago

Job summary
We'#39;re seeking a Transition of Care Registered Nurse (RN) to support high-risk members through safe, effective care transitions across the healthcare continuum.Responsibilities
- Coordinate care transitions from hospital to home or post-acute settings
- Collaborate with hospital discharge planners, providers, facilities, and family/support systems
- Conduct face-to-face hospital visits and home visits for high-risk members
- Educate members using the Transition of Care (ToC) Pillars,
- Apply the Coleman Care Transitions Model for post-discharge follow-up
Job description
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