Transitional Care NP - Post-Discharge & Outreach
University of Maryland Medical System
The University of Maryland Medical System is seeking an Advanced Practice Provider (APP) to enhance outpatient care for patients in the Transitional Care Center. The APP delivers patient-centered services aimed at improving care access and supporting safe transitions from hospital to home. Key responsibilities include performing comprehensive evaluations, conducting patient assessments, managing acute conditions, and collaborating with healthcare teams. Ideal candidates are licensed Nurse Practitioners or Physician Assistants with previous primary care experience. #J-18808-Ljbffr University of Maryland Medical System
- ...Advanced Practice Provider (APP) - Transitional Care and Community Outreach provides comprehensive outpatient care... ...and manages patients recently discharged from the hospital who require short... ...Responsibilities Performing comprehensive post-hospitalization evaluations...OutreachTemporary workWork experience placement
$61.84k - $111.26k
...LPN Care Manager Transition Of Care Nurse General Summary Of Position The LPN Care Manager... ...attributed Medicare beneficiaries following discharge by ensuring the following: Ensures... ...department and hospital in community outreach efforts. Participates in multi-...Outreach$60k - $80k
...NP Baltimore - Social Worker The Childrens Guild Brooklyn Campus - Baltimore, MD 21... ...family meetings, home visits, and community outreach as needed Support crisis assessment,... ...professional development in trauma-informed care, PBIS, and child welfare best practices...OutreachFull timeImmediate start- Client Care Coordinator Senior Helpers of Baltimore & Central Maryland Position... ...* Support rapid response to hospital discharges, transition-of-care referrals, and urgent client... ...wellness check-ins, and satisfaction outreach in accordance with agency policies and...OutreachFull timeWork at officeImmediate start
- ...Position Assumes total nursing care of specific patients under the... ...of illness. Manages patients' transition from hospital back to home... ...department and hospital in community outreach efforts. Participates in multi... ...Licenses and Certifications NP - Nurse Practitioner -...OutreachWork from home
$70k - $100k
...through exceptional patient care and innovative medical treatments... ...and implement actionable discharge plans, connecting patients with... ...Participate in community outreach programs to enhance service awareness... ..., and ensuring seamless care transitions as patients move through...OutreachFull timeImmediate startRemote workRelocation package$90k - $100k
...a difference every day as an Amedisys care transitions coordinator Join Amedisys—the largest and... ...calls daily in CRM (including pre and post call notes). Maintains a complete, up-... ...healthcare related business development/outreach role. A bachelor's degree is preferred,...OutreachTemporary workShift work$55 - $60 per hour
...community. We are committed to compassionate care, clinical excellence, and collaborative... ...collaboratively within a multidisciplinary team. The NP will report to the Clinical Director and... ...in program development and community outreach initiatives Qualifications • Active...OutreachHourly payFull timePart timeLocal area$57.9k - $66.44k
...School Social Worker | Youth In Transition School Salary Range $57,896.00 - $66,440.00... ...environment for all students Coordinate Care Beyond the Classroom Provide case... ...and contribute to treatment and discharge planning Address attendance challenges...Full timeLocal areaShift work$58.03 - $104.12 per hour
...Utilization Case Management And Discharge Planning Coordinator Plans... ...the facilitation of patient transition from area to area in a timely... ...room admitting acute care discharge follow-up sub-acute... ...and business unit in community outreach efforts. Participates in multidisciplinary...Outreach- ...LCSW) to manage complex hospital discharges in the Towson, MD area. You will navigate post-acute settings, coordinate with... ...leadership to ensure safe, efficient transitions for high-acuity patients. You... ...planning or transitional care. The role offers autonomy, flexibility...
$64.99k - $99.88k
...time type Full time posted on Posted Today job... ...The Gilchrist Hospice Care (GHC) Hospice Liaison... ...experience, community outreach or pastoral counseling... ...knowledge of each facility's discharge planning process and... ...and coordinates transition of patients to GHC service...OutreachFull timeWork at officeLocal area- ...comprehensive inpatient and perioperative care to surgical patients in collaboration... ...clinical documentation, care coordination, and discharge planning. The APP practices within the... ...consulting specialties to ensure safe transitions of care and discharge planning. Provides...Work experience placement
$78.97k - $131.61k
...growth of your career. Option Care Health, Inc. is the largest... ...Description Summary The Clinical Transition Specialist is an experienced... ...products and services to discharging patients. They are responsible... ...Department of Homeland Security. Posted: Apr 16, 2026 #J-18808-...Flexible hours- ...Clinical Nurse II - Virtual Heart Failure Transitional Care Bridge Clinic Join an innovative... ...care is delivered after hospital discharge. We are seeking a dynamic, self-motivated... ...monitoring, virtual platforms and telephone outreach Identify changes in patient...OutreachRemote work
- ...focused but clinician focused too. We take care of you, so you can care for the patients... ...may face. The Home Care Coordinator Discharge Planner specializes in coordinating home... ...services and resources for patients transitioning from hospital to home, acting as a discharge...Local area
$60k - $100k
...settings. \n Participate in community outreach events and initiatives to raise... ...individuals and families within the hospice care setting, addressing their emotional and... ...they navigate critical health and life transitions. You will advocate for patients who may...OutreachRemote jobFull timeFlexible hoursAfternoon shift- ...reduction, and recovery-oriented care model. Provide ongoing... ...offboarding processes to ensure smooth transitions. Lead or participate in... ...and performance. Engage in outreach and relationship‑building with... ...Affairs; or a person who was discharged or released from active duty...OutreachContract workTemporary workFor contractorsFor subcontractorWork at officeLocal area
$18 per hour
..., supporting children with special needs through individualized care and education. At The Children's Guild , we empower children... ...in kindergarten through 12th grade. Engage in family outreach and school-based activities. Participate in professional development...Outreach- ...with our interdisciplinary care teams to improve the psychiatric... ...of member care Support with Transitional Care Management, Emergency... ...and Crisis Intervention Outreach to local inpatient and outpatient... ...care coordination Conduct post discharge visits for members discharging...OutreachFull timePart timeLocal area
$53.04k - $66.3k
...and community interactions. Provide support and outreach to faculty and staff involved when students at risk... ...resources and facilitating access to medical care (including coordination of hospitalizations and discharge planning), and follow up to ensure that clients are...OutreachFull timeWork experience placementWork at officeRemote workVisa sponsorshipWork visa$4,000 per month
...Discharge Hospitality Center Lpn The Discharge Hospitality Center (DHC) Licensed Practical... ..., follow-up appointments, and post-discharge care. Responsibilities include completing accurate... ...team to promote a seamless transition from hospital to home while supporting...Full timeRelocation packageMonday to FridayFlexible hours$47 - $55 per hour
...evidence-based, and deeply compassionate care to patients across the country. With... ...order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake... ...Veterans Affairs; or a person who was discharged or released from active duty because of...OutreachFull timeFor contractorsShift work$46.92k
...career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately... ...time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with...Full timeRelocationRelocation packageFlexible hoursWeekday work$40 per hour
...residents and family members of Continuing Care. Schedule: PRN/Flex arrangement... ...Work function from admission to discharge to include room changes and transition planning Providing psychosocial... ...with the older adult population in post-acute/ long term care preferred....Hourly payFull timePart timeReliefWork at officeLocal areaImmediate startFlexible hours$39.8 - $66.26 per hour
...Practitioner program; Master's in Palliative Care preferred. Experience At least five (5)... ...-disciplinary team to facilitate live discharges from the Center, including completion of... ...submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital...Contract workLocal area$41.12 - $58.79 per hour
...associate experience grounded in service, growth, care and connection. We empower our 97,000 associates to... ...s journey by initiating and managing comprehensive discharge plans, ensuring a safe and successful transition from hospital to home. What minimum requirements you...Hourly payFull timeLocal areaRelocation packageNight shift- ...Respiratory Care Practitioner Under general supervision, performs respiratory... ...shift. Maintains patient orders, transitions therapies, and maintains work... ..., home care. May assist with discharge planning. May assist with community outreach. May initiate and implement...OutreachTraineeshipReliefShift workNight shift
- GBMC HealthCare in Baltimore, MD seeks a Social Worker to assess and intervene for seamless post-discharge care. You will interview patients and families, facilitate family meetings, and coordinate continuing care with home health and social services to support effective...
- ...harvesting, with a four 10-hour shift schedule and shared night/weekend call. The ideal candidate holds a Master’s degree as a PA or NP with RNFA, Maryland PA/NP licensure, and BLS certification; three years cardiac surgery experience is preferred #J-18808-Ljbffr University...Shift workNight shiftWeekend work
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