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Hudson Valley Hospice

Poughkeepsie, New York

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Treasure Coast Hospice

Stuart, Florida

Haven Hospice

Gainesville, Florida

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Montgomery Hospice

Rockville, Maryland

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Borune, Massachusetts

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Rockville, Maryland

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Elara Caring

Kalamazoo, Michigan

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Rockville, Maryland

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Hoquiam, Washington

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Lake Havasu City, Arizona

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Lake Havasu City, Arizona

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Charlotte, North Carolina

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Greenville, South Carolina

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National Hospice and Palliative Care Organization

Alexandria, Virginia

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The George Washington University Hospital

Washington, D.C.

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The George Washington University Hospital

Washington, D.C.

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RN Case Manager - Community Health Development
DescriptionSummary:Facilitates 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 FlagsCHRISTUS Spohn Hospital Corpus Christi-Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full ran


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