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MemorialCare Health System

Long Beach, California

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Detroit, Michigan

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West Nyack, New York

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Gilbert, Arizona

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Irving, Texas

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St. Louis, Missouri

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RN, Community Health - Health Resource Center - PRN
DescriptionFacilitates Care Transitions Intervention to include interdisciplinary collaboration across transitions and coaching the patient and caregiver to play a central active role in the formation and execution of the plan of care. Facilitates the intervention by identifying and meeting with patients in the hospital, performing home visits and follow-up phone calls. Introduces patient to self-management tools with the following goals: Medication self-management; Use of a dynamic patient-centered record; Primary Care and Specialist Follow-Up; Knowledge of Red FlagsRequirementsGraduate of accredited ADN or BSN program, Registered NurseMinimum 1 year clinical experience as RNPrefer 5+ years RN experienc


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