Community Transition Planning Jobs

This Staff RN position within OhioHealth's Healthcare & Medical Services team focuses on delivering compassionate, patient-centered care across the lifespan. Key responsibilities include conducting comprehensive patient assessments, developing individualized care plans, administering medications and treatments, and educating patients and families on health strategies. The role emphasizes collaboration with an interdisciplinary team to ensure safe transitions of care and adherence to quality standards. The position is appealing due to the organization's supportive and inclusive culture, which offers significant opportunities for professional growth, continuing education, and active participation in community health initiatives. The role requires a valid Ohio RN license and relevant certifications, with a preference for BSN preparation and acute care experience.

The Registered Nurse II role at Houston Methodist West Hospital supports the Healthcare & Medical Services team in delivering acute care across emergency, cardiac, orthopedic, and women's services. Key responsibilities include performing comprehensive patient assessments, developing individualized care plans, administering treatments, and collaborating with interdisciplinary teams to ensure safe, evidence-based care. The position also involves mentoring less experienced staff and participating in quality improvement initiatives. This opportunity is appealing for its supportive culture that values integrity and innovation, offering professional growth within a leading healthcare organization. The role requires flexibility to work various shifts, including weekends and holidays, in a fast-paced environment focused on patient safety and community wellness.

This PRN Case Manager role at Kindred Hospital Dayton supports a 97-bed facility specializing in long-term acute care and behavioral health. The position focuses on coordinating patient care through the Interdisciplinary Care Transitions team, ensuring effective communication among physicians, staff, and families. Key responsibilities include conducting comprehensive assessments, developing individualized care plans, managing discharge planning, and performing utilization reviews to optimize resource use and compliance. The role appeals to professionals seeking a collaborative environment where they can advocate for patients across the care continuum while utilizing critical thinking to navigate complex reimbursement and regulatory requirements. The position is based on-site in downtown Dayton with no travel required.

The RN Care Manager role at Intermountain Health Lutheran Hospital focuses on delivering comprehensive care management services to patients across inpatient and outpatient settings. Key responsibilities include conducting clinical screenings and assessments, developing personalized care plans, and guiding patients through self-management using motivational interviewing. The position requires collaboration with multidisciplinary teams, payers, and families to ensure efficient care transitions and regulatory compliance. This 24-hour weekly position offers an opportunity to work within a supportive culture that prioritizes employee wellness and sustainable career growth. The role combines clinical expertise with process improvement initiatives to enhance patient outcomes in a collaborative hospital environment.

This full-time RN Complex Case Manager role operates Monday through Friday at Research Medical Center, supporting patients and families through their care journey within a large, multi-specialty hospital system. Key responsibilities include coordinating services, developing individualized treatment plans, conducting psychosocial assessments, and facilitating discharge planning while collaborating with an interdisciplinary team. The position appeals to nurses seeking a career in a compassionate, ethically recognized organization that values professional growth through extensive education support and a comprehensive benefits package. The role emphasizes patient-centered care and offers a stable work arrangement with opportunities to contribute to a mission of delivering respectful, high-quality healthcare.

This full-time Case Manager RN role at Methodist Hospital focuses on guiding patients and families through their rehabilitation and care journey. The position involves coordinating services, developing individualized treatment plans, and conducting psychosocial assessments to ensure safe transitions and quality care. Key responsibilities include educating patients on insurance benefits and discharge criteria while collaborating with an interdisciplinary team to support recovery goals. The role is appealing due to the hospital's reputation as a top-ranked facility offering extensive benefits, including comprehensive health coverage, a 401(k) match, and robust education support. The position is based on-site within a supportive culture that prioritizes compassion and professional growth.

This Direct Service Professional role at Claratel Behavioral Health supports individuals with intellectual and developmental disabilities across home, work, and community settings. Key responsibilities include assisting with daily living activities, fostering independence through social skills training, ensuring safety and well-being, and maintaining accurate documentation. The position offers full-time and part-time shifts with opportunities for professional growth within a collaborative, not-for-profit organization. The role is appealing due to its mission-driven culture that prioritizes employee well-being, comprehensive benefits including paid time off and a retirement plan, and the chance to make a tangible impact on the lives of others.

The Registered Nurse II role at Houston Methodist West Hospital supports the Healthcare & Medical Services team in delivering acute care across emergency, cardiac, orthopedic, and women's services. Key responsibilities include performing comprehensive patient assessments, developing individualized care plans, administering treatments, and collaborating with interdisciplinary teams to ensure safe, evidence-based care. The position also involves mentoring less experienced staff and participating in quality improvement initiatives. This opportunity is appealing for its supportive culture that values integrity and innovation, offering professional growth within a leading healthcare organization. The role requires flexibility to work various shifts, including weekends and holidays, in a fast-paced environment focused on patient safety and community wellness.

The Registered Nurse II role at Houston Methodist West Hospital supports the Healthcare & Medical Services team in delivering acute care across emergency, cardiac, orthopedic, and women's services. Key responsibilities include performing comprehensive patient assessments, developing individualized care plans, administering treatments, and collaborating with interdisciplinary teams to ensure patient safety and high-quality outcomes. The position also involves mentoring less experienced staff and participating in quality improvement initiatives. This opportunity is appealing for its supportive, collaborative culture that values integrity and innovation, offering professionals a chance to advance their clinical expertise and leadership skills within a leading healthcare organization while serving the West Houston and Katy communities.

The Case Manager RN role at Methodist Hospital involves supporting patients and families throughout their care journey within a comprehensive medical facility. Key responsibilities include coordinating services, developing individualized treatment plans, conducting psychosocial assessments, and facilitating clear communication among the interdisciplinary team to ensure safe transitions. The position is appealing due to the organization's strong commitment to employee growth, including extensive education support and a robust benefits package. Working in a top-ranked hospital known for advanced specialties like robotics and stroke care, the role offers a collaborative environment that prioritizes compassion and excellence.

The Registered Nurse Trauma Spine role within Mission Health's Healthcare & Medical Services department delivers comprehensive, patient-centered nursing care in a fast-paced acute care setting. Key responsibilities include performing detailed neurologic and pain assessments, developing individualized care plans, administering treatments, and providing pre- and post-operative support for spine surgery and trauma patients. The position emphasizes interdisciplinary collaboration to coordinate care, educate families, and contribute to quality improvement initiatives focused on patient safety. This opportunity is appealing for its collaborative culture that values professional growth, offering extensive continuing education, specialty training, and pathways for leadership advancement. The role requires working rotating shifts in a high-acuity environment and provides a rewarding career for nurses dedicated to improving community health through evidence-based practice.

The Registered Nurse Trauma Spine role within Mission Health's Healthcare & Medical Services department delivers comprehensive, patient-centered care to trauma and spine patients in a fast-paced acute care setting. Key responsibilities include performing detailed neurologic and pain assessments, developing individualized care plans, administering treatments, and coordinating with interdisciplinary teams for pre- and post-operative spine surgery support. The position offers a collaborative culture that values professional growth through specialty training, shared governance, and mentorship opportunities. This full-time position requires rotating shifts to support 24/7 operations and provides a rewarding environment for nurses dedicated to advancing their careers in high-acuity clinical settings.

This full-time Registered Nurse role supports patient-centered primary care at Appledore Family Medicine in Manchester. The position involves performing patient assessments, administering medications and immunizations, and managing chronic disease care within a collaborative team of physicians and advanced practice providers. Key responsibilities include documenting findings in the EHR, coordinating referrals, and educating patients on self-care and preventive health. The role appeals to those seeking a community-focused environment that values long-term patient relationships and teamwork. The clinic offers a comprehensive benefits package including medical, dental, and vision coverage, along with a 401k plan. The position requires an active state RN license and BLS certification.

This Registered Nurse position within the Healthcare & Medical Services team at Manatee Memorial Hospital focuses on delivering high-quality, patient-centered care. Key responsibilities include performing comprehensive patient assessments, developing and implementing individualized care plans, administering medications and IV therapies, and coordinating with interdisciplinary teams to optimize outcomes. The role also involves educating patients and families, maintaining accurate electronic health records, and adhering to strict safety protocols. This opportunity is appealing due to the hospital's inclusive and innovative culture that supports professional growth, continuous learning, and mentorship. The position offers a collaborative environment where nurses can develop their clinical skills while contributing to exceptional care standards.

The Program Leader role at the Community Youth Center of San Francisco involves overseeing academic and enrichment activities for high school students at the Balboa After School and Summer Programs. Key responsibilities include designing engaging, project-based learning curriculum, providing academic tutoring, and maintaining a safe environment through restorative conflict mediation. The position also requires coordinating cultural events, communicating with families and school staff, and assisting with program data collection. This opportunity appeals to candidates passionate about youth development, offering a chance to foster a diverse and supportive community while working with a mission-driven team. The role is temporary with varying hours throughout the school year and summer, located on-site at the Balboa High School campus.

This full-time RN Case Manager role supports patients and families through their care journey within a national learning health system known for advanced stroke treatment and sepsis detection. The position involves coordinating services, developing individualized treatment plans, and conducting psychosocial assessments to ensure safe transitions and consistent quality across the continuum of care. Key responsibilities include guiding patients through program orientation, facilitating family conferences, and collaborating with interdisciplinary teams to promote patient-centered outcomes. The role appeals to nurses seeking a collaborative environment that values compassion and excellence, offering opportunities for professional growth through extensive education support and a comprehensive benefits package. The position is based at a major acute care hospital in the Denver metro area.

The Nurse Manager Utilization Management role leads care management operations across utilization review, acute, emergency, and ambulatory settings within the Nevada region. The position oversees multiple disciplines to optimize patient care and financial performance while ensuring regulatory compliance. Key responsibilities include driving patient satisfaction initiatives, leading process improvement and quality assurance efforts, and collaborating with healthcare executives to enhance care transitions. This position offers an opportunity to shape enterprise-wide strategies for high-quality, equitable care within a supportive culture focused on workforce development. The role is based at the Las Vegas central office with a standard 40-hour work week and may require occasional travel to various locations for operational oversight.

The MHSU Care Manager role is a mobile position based in Catawba, Iredell, and Rutherford counties, North Carolina, focusing on connecting adults and youth with mental health and substance use services. The professional collaborates with community hospitals, providers, and stakeholders to conduct comprehensive assessments, develop care plans, and coordinate transitions between clinical settings. Key responsibilities include linking members to physical and behavioral health resources, facilitating high-risk team meetings, and monitoring progress to ensure appropriate service delivery. This position appeals to candidates seeking a mission-driven career in public health with opportunities for professional growth and a supportive benefits package. The role requires significant travel within the assigned communities and offers a flexible work arrangement centered on direct community engagement.

This full-time Registered Nurse role is based in the Pediatric Clinic within Campbell County Health's Healthcare & Medical Services department in Gillette, Wyoming. The position focuses on delivering compassionate, patient-centered care to infants, children, and adolescents in an outpatient setting. Key responsibilities include performing age-appropriate assessments, administering medications and vaccinations, assisting providers with examinations, and educating families on treatment plans and preventive care. The role also involves participating in triage activities and maintaining accurate electronic health records. This on-site position offers a supportive environment that values community well-being and provides opportunities for professional growth through ongoing education and quality improvement initiatives.

The Nurse, Individualized Care role within Cardinal Health's Clinical Operations team supports oncology patients through a virtual care management model. The position focuses on coordinating comprehensive care plans, monitoring patient progress remotely, and managing side effects to improve treatment adherence and quality of life. Key responsibilities include conducting telehealth assessments, facilitating transitions from acute care to home, performing medication reconciliation, and collaborating with interdisciplinary teams to ensure compliance and continuity. This opportunity appeals to nurses seeking to impact patient outcomes in a mission-driven environment that prioritizes health equity and access to life-changing therapies. The role is fully remote for U.S. residents, offering flexibility to work within standard business hours while utilizing provided technology in a dedicated home workspace.

This 13-week travel assignment places an Occupational Therapist at a facility in Buckingham, Pennsylvania, supporting a dedicated clinical team. The role involves evaluating patient needs, designing individualized treatment plans, and delivering hands-on interventions to help patients regain functional independence in daily living. Key responsibilities include collaborating with interdisciplinary healthcare teams, educating families on adaptive strategies, and maintaining accurate medical documentation. The position offers a supportive environment with comprehensive benefits including day-one insurance, licensure reimbursement, and 24/7 recruiter assistance. This opportunity is ideal for professionals seeking to make a positive impact on patient lives while enjoying flexible travel arrangements and professional growth within a mission-driven organization.

This 13-week travel assignment places a Physical Therapy Assistant in Albuquerque, New Mexico, supporting a dedicated clinical team within a facility setting. The role involves implementing treatment plans under the supervision of a Physical Therapist to improve patient mobility and reduce pain. Key responsibilities include guiding patients through therapeutic exercises, documenting progress in medical records, and educating patients on home care programs. The position offers the appeal of working with a supportive organization that provides comprehensive benefits including day-one insurance and professional development reimbursement. The arrangement is a full-time, on-site contract with a day shift schedule.

This senior leadership role within HUB's Employee Benefits Practice involves managing a portfolio of complex True Group clients with over 100 lives. The position requires serving as the primary liaison between clients, the firm, and insurance carriers to deliver strategic consulting on benefit plan design, funding, and compliance. Key responsibilities include leading renewal negotiations, analyzing claims data to optimize costs, and mentoring junior team members to foster professional growth. The role appeals to professionals seeking an entrepreneurial environment within a rapidly expanding global organization that values continuous learning and innovation. While the position involves some travel, it offers a collaborative culture focused on high performance, ethical service, and significant opportunities for career advancement.

The ER Registered Nurse role within ChristianaCare's Healthcare & Medical Services team delivers compassionate, high-quality care to a diverse patient population in a fast-paced emergency department. Key responsibilities include performing rapid patient assessments and triage, administering medications and IV therapies, monitoring vital signs and cardiac rhythms, and collaborating with interdisciplinary teams to execute individualized care plans. The position emphasizes patient education, accurate electronic health record documentation, and adherence to safety protocols. This opportunity is appealing due to the organization's inclusive culture, strong emphasis on teamwork, and extensive professional growth resources such as mentorship, specialty certifications, and shared governance participation. The role requires flexibility to work various shifts including evenings, nights, weekends, and holidays to support 24/7 operations.

This full-time Physical Therapist role operates within VitalCaring's home health and hospice division, focusing on delivering compassionate care to patients at the end of life. The position involves assessing patient functional status, evaluating home environments for safety, and designing treatment plans that prioritize comfort, mobility, and dignity rather than active rehabilitation. Key responsibilities include instructing patients and families on therapeutic techniques, collaborating with interdisciplinary teams, and maintaining accurate clinical documentation. The role appeals to clinicians seeking a supportive culture that values work-life balance, offering significant flexibility to manage personal commitments alongside professional duties. Employees benefit from a comprehensive benefits package, career development opportunities, and a mission-driven environment dedicated to uplifting both patients and team members.