NewTravel Cardiac Cath Lab RN - $2,491 per week Solomon PageTravel Cardiac Cath Lab RN - $2,491 per weekMiami, FLHeadquartered in New York with offices throughout the United States our experienced healthcare and medical staffing experts are committed to providing safe and quality patient care through our wide network of travel nurses, locum tenens, and allied resources. Upon commencement of your employment, Solomon Page offers automatic enrollment into ReviveHealth, which offers concierge, membership-based access to virtual primary care, urgent care, mental health therapy, a vision program, and prescription medications.
NewTravel Operating Room Registered Nurse - $2,165 per week Solomon PageTravel Operating Room Registered Nurse - $2,165 per weekMiami, FLHeadquartered in New York with offices throughout the United States our experienced healthcare and medical staffing experts are committed to providing safe and quality patient care through our wide network of travel nurses, locum tenens, and allied resources. Upon commencement of your employment, Solomon Page offers automatic enrollment into ReviveHealth, which offers concierge, membership-based access to virtual primary care, urgent care, mental health therapy, a vision program, and prescription medications.
NewSchool Nurse - Contract Role JobotSchool Nurse - Contract RoleMiami Beach, FL$40–$50 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. You will be part of a vibrant healthcare team, working closely with educators, administrators, and parents to manage health conditions and prevent disease.
NewLocal Contract Cardiac Cath Lab RN - $38-45 per hour Medical SolutionsLocal Contract Cardiac Cath Lab RN - $38-45 per hourMiami, FL$38–$45 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewLocal Contract Operating Room Registered Nurse - $33-38 per hour Medical SolutionsLocal Contract Operating Room Registered Nurse - $33-38 per hourMiami, FL$33–$38 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Cardiac Cath Lab RN - $2,530 per week MedPro Healthcare StaffingTravel Cardiac Cath Lab RN - $2,530 per weekMiami, FLMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Cath Lab Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
Certified Registered Nurse Anesthetist - CRNA- NewYork-Presbyterian-Lower Manhattan Hospital NewYork-PresbyterianCertified Registered Nurse Anesthetist - CRNA- NewYork-Presbyterian-Lower Manhattan HospitalMiami Beach, FLTransform your career as a Certified Registered Nurse Anesthetist (CRNA) at NewYork-Presbyterian/Lower Manhattan Hospital, the singular source of advanced care and caring for the 600,000 New Yorkers who live and work south of 14th Street. Surgeries at NewYork-Presbyterian range from the vital to the complex to the truly ground breaking, with one common thread: an expert CRNA team, driven by a deep seated passion for patients.
NewTravel Cath Lab Registered Nurse - $2,835 per week LanceSoftTravel Cath Lab Registered Nurse - $2,835 per weekWeston, FLLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.
NewTravel Operating Room Registered Nurse - $2,244 per week MedPro Healthcare StaffingTravel Operating Room Registered Nurse - $2,244 per weekMiami, FLMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Operating Room Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
NewTravel Nurse RN - OR - Operating Room - $2,149 per week Fusion Medical Staffing-NursingTravel Nurse RN - OR - Operating Room - $2,149 per weekMiami, FLAs a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team. Summary: The Operating Room Registered Nurse provides comprehensive patient care throughout the perioperative process, ensuring the safety and comfort of patients during surgical procedures.
NewTravel OR RN - $1,800 per week CoreMedical GroupTravel OR RN - $1,800 per weekMiami, FLEstimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more!
Community Health Clinical Nursing Instructor (Part-Time) Covista IncCommunity Health Clinical Nursing Instructor (Part-Time)Miramar, FLFrom individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare. With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare professionals.
Community Health Navigator, Patient Engagement Imagine Pediatrics LLCCommunity Health Navigator, Patient EngagementFLThe role partners with an interdisciplinary team to address patient needs and enhance re-engagement of patients who were previously enrolled but did not complete onboarding or have not actively utilized services, ensuring they are supported in reconnecting with Imagine Pediatrics care. Maintain and gather up-to-date knowledge of local community resources (e.g., social services, healthcare providers, SDOH supports) and connect families to appropriate services.
Community Health Worker, State and Federal Grants, Jackson Main, FT, Days Jackson Health SystemCommunity Health Worker, State and Federal Grants, Jackson Main, FT, DaysMiami, FLIdentify barriers to care, assist in problem-solving, and access appropriate resources, by supporting clients in obtaining needed assistance, such as emergency food, social security benefits, legal services, unemployment benefits, medical attention, and related services. Employees in this classification provide support to families and individuals relating to social service, education, care coordination, and health or mental health care, depending upon the area of assignment.
UMMG Staff Physician - Family Medicine and Community Health University of MiamiUMMG Staff Physician - Family Medicine and Community HealthMiami, FLUHealth-University of Miami Health System, South Floridas only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. Essential Duties and Responsibilities: Position Description Physician reports directly to the Chair of Family Medicine and is primarily responsible for the provision of high quality medical/cardiac care to our patients.
Nurse Manager Behavioral Health RN HiredFirstNurse Manager Behavioral Health RNAventura, FL$38–$55This Nurse Manager, Behavioral Health (RN) position is based in Aventura, FL at a 467-bed Level II Trauma Center that also holds designation as a Thrombectomy-Capable Stroke Center, an accredited Comprehensive Community Cancer Program, and an American College of Radiology–accredited Breast Imaging Center of Excellence. The Manager owns schedule planning and oversight, contributes directly to hiring decisions, performance assessments, and disciplinary actions, and maintains collaborative relationships with hospital leadership, physicians, and both internal and external department staff.
School Based Health Licensed Practical Nurse Community Health of South Florida Inc.School Based Health Licensed Practical NurseMiami, FLUnder the supervision of a Registered Nurse, Advanced Practice Registered Nurse, Physician, or other licensed healthcare provider, the School-Based LPN provides direct nursing care, medication administration, chronic disease monitoring, preventive health services, telehealth support, care coordination, and health education. The School-Based Health Licensed Practical Nurse (LPN) is an essential member of CHI's School-Based Health Program and works collaboratively with students, families, school personnel, healthcare providers, behavioral health professionals, and community partners to support student health and wellness.
NewHome Health Licensed Practical Nurse HumanaHome Health Licensed Practical NurseNorth Miami, OhioHelps patients care for themselves and helps family members care for the patient by introducing and teaching assisted living techniques such as using a cane or walker, using special utensils to eat, using special techniques and equipment for personal hygiene needs, and appropriate ways to lift, turn, and re-position the patient. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Registered Nurse Behavioral Health Mount Sinai Medical Center of FloridaRegistered Nurse Behavioral HealthMiami Beach, FloridaAssumes accountability for completion of delegated tasks during assigned shift, including but not limited to: Ensuring that each patient's general hygiene needs are met daily Dressing changes using aseptic techniques Bedside glucose monitoring according to policy Administering oxygen therapy according to physician order. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more.
School Based Health Registered Nurse (RN) Community Health of South Florida Inc.School Based Health Registered Nurse (RN)Miami, FLThe RN works collaboratively with students, families, school personnel, healthcare providers, behavioral health professionals, and community partners to improve student health outcomes and support academic success. The School-Based Health Registered Nurse (RN) serves as a key member of CHI's School-Based Health Program and is responsible for delivering, coordinating, and promoting comprehensive health services for students within assigned schools.
Licensed Practical Nurse (LPN-Mental Health) (78822) Centurion HealthLicensed Practical Nurse (LPN-Mental Health) (78822)Florida City, FL$29–$32.50 / hourCenturion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings. Licensed Practical Nurses work under the direction of Registered Nurses, medical, and psychiatric staff to respond to a range of physical and mental health needs.
Care Manager RN, Behavioral Health in Miami, FL Molina Healthcare IncCare Manager RN, Behavioral Health in Miami, FLMiami, FLCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
Private Duty Nurse (LPN) – Concierge Home Health | Miami TheKeyPrivate Duty Nurse (LPN) – Concierge Home Health | MiamiMiami, FloridaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Private Duty Nurse (RN) – Concierge Home Health | Miami TheKeyPrivate Duty Nurse (RN) – Concierge Home Health | MiamiMiami, FloridaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Nurse Educator (RN) Emergency Services, Clinical Learning & Development, Jackson Health, FT, Days Jackson Health SystemNurse Educator (RN) Emergency Services, Clinical Learning & Development, Jackson Health, FT, DaysMiami, FLAmerican Heart Association Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world''s most skilled and highly regarded multidisciplinary healthcare professionals.
Licensed Practical Nurse (LPN) Home Health PRN Enhabit IncLicensed Practical Nurse (LPN) Home Health PRNSunrise, FLWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what's possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Nurse Manager Behavioral Health RN HCA HealthcareNurse Manager Behavioral Health RNAventura, FLThese responsibilities may include but are not limited to; planning, preparation and oversight of staff schedules; providing input into employee decisions related to hiring, performance assessment and disciplinary actions; The BH Manager collaborative working relationships with hospital leadership, physicians, and staff, both internal and external to the department and to accomplish these responsibilities in an effective and efficient manner. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Registered Nurse (RN) - Pediatric & Adult Home Health | Private Duty Nursing Team Select Home Care LLCRegistered Nurse (RN) - Pediatric & Adult Home Health | Private Duty NursingFL$23–$28 / hourEnsures that the following information/instruction is given in writing to the patient/caregiver/representative: Visit schedule with frequency of visits, complete Medication Profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient's care needs, and name and contact information of the agency's Clinical Manager. Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence to families by delivering compassionate one-on-one care to medically complex children and adults in the comfort of their homes.
Registered Nurse (RN) – Pediatric & Adult Home Health | Private Duty Nursing Team Select Home CareRegistered Nurse (RN) – Pediatric & Adult Home Health | Private Duty NursingMiami, FloridaEnsures that the following information/instruction is given in writing to the patient/caregiver/representative: Visit schedule with frequency of visits, complete Medication Profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient’s care needs, and name and contact information of the agency’s Clinical Manager. Join Team Select Home Care as a Registered Nurse (RN), where you’ll bring comfort and confidence to families by delivering compassionate one-on-one care to medically complex children and adults in the comfort of their homes.
Registered Nurse Home Health Fulltime/PRN Pinnacle Home CareRegistered Nurse Home Health Fulltime/PRNPlantation, FLPinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for Registered Nurses to join our award-winning team. Provide high-quality nursing care in alignment with the patient’s care plan, including comprehensive health and psychosocial assessments to support recovery.
Licensed Practical Nurse (LPN) - Home Health - PRN Enhabit Home Health & HospiceLicensed Practical Nurse (LPN) - Home Health - PRNSunrise, FLWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Senior Health Educator- Clinical Transplant Nurse- Remote Molina Healthcare IncSenior Health Educator- Clinical Transplant Nurse- RemoteFLRemoteAt least 3 years of experience in a health education-related capacity, and at least 1 of year experience working with a wide range of member populations within a managed care setting, or equivalent combination of relevant education and experience. May serve as the designated QI representative at various external activities to include immunization, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), chronic condition collaborative and other work group meetings.
Private Duty Nurse (RN) – Concierge Home Health | Miami TheKey Concierge NursingPrivate Duty Nurse (RN) – Concierge Home Health | MiamiMiami, FloridaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Private Duty Nurse (LPN) – Concierge Home Health | Miami TheKey Concierge NursingPrivate Duty Nurse (LPN) – Concierge Home Health | MiamiMiami, FloridaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Private Duty Nurse (LPN) - Concierge Home Health | Miami TheKey LLCPrivate Duty Nurse (LPN) - Concierge Home Health | MiamiMiami, FLAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. At TheKey, we pride ourselves on hiring compassionate caregivers who meet the following eligibility requirements: Licensed Practical Nurse (LPN) license required.
Private Duty Nurse (LPN) – Concierge Home Health | Miami Home Care AssistancePrivate Duty Nurse (LPN) – Concierge Home Health | MiamiMiami, FloridaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Private Duty Nurse (RN) - Concierge Home Health | Miami TheKey LLCPrivate Duty Nurse (RN) - Concierge Home Health | MiamiMiami, FLAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Private Duty Nurse (RN) – Concierge Home Health | Miami Home Care AssistancePrivate Duty Nurse (RN) – Concierge Home Health | MiamiMiami, FloridaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Coordinate services by participating in case conferences, case management, team meetings, and staff meetings as indicated.
Registered Nurse weekends Home Health Pinnacle Home CareRegistered Nurse weekends Home HealthPlantation, FLPinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for Registered Nurses to join our award-winning team. Provide high-quality nursing care in alignment with the patient’s care plan, including comprehensive health and psychosocial assessments to support recovery.
Infusion Nurse LPN or RN FIRST CARE HOME SERVICES, INC.Infusion Nurse LPN or RNFort Lauderdale, FLIn addition to being licensed in the State of Florida, the Hi-Tech Nurse must: Provide evidence of specialized training in hi-tech procedures and/or Provide evidence of administering hi-tech services in acute care setting. Works as an integral part of the client's team (client, physician, nurse, pharmacist, etc.) to insure safe effective delivery of patient treatment Conducts self in a professional manner at all times and in all situations.
Community Connector Molina Healthcare IncCommunity ConnectorFLConducts research with available data to locate members that Molina has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers or travel to last known address or community resource locations such as homeless shelters, etc.). Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
Community Connector (Housing Resource Spc) Must Reside in FL Molina Healthcare IncCommunity Connector (Housing Resource Spc) Must Reside in FLFLConducts research with available data to locate members that Molina has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers or travel to last known address or community resource locations such as homeless shelters, etc.). Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc.
OPS HEALTH SUPPORT TECHNICIAN - 64856784 Government of FloridaOPS HEALTH SUPPORT TECHNICIAN - 64856784MIAMI, FLCHN by documenting, maintaining materials, supplies and following-up on health care referrals, recording health information within individual student health records, assist with maintaining list of students with significant health conditions and following-up with phone calls, letters to parents, providing first aid to students, notifying parents of accidents or illness, and administering medications according to district policy and procedures. Provides emergency treatment and supportive care by activating emergency services (911) in accordance with the presenting issue and established emergency care plan, for students having allergic reaction or other urgent issues.
Housecalls Community Liaison Miami, FL Ennoble CareHousecalls Community Liaison Miami, FLMiami, FLEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.
Housecalls Community Liaison (Miami, FL) Ennoble CareHousecalls Community Liaison (Miami, FL)Miami, FLEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.
Complex Adult Health Clinical Nursing Instructor (Part-Time) Covista IncComplex Adult Health Clinical Nursing Instructor (Part-Time)Miramar, FLFrom individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare. With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare professionals.
Collaborative Health Clinical Nursing Instructor (Part-Time) Covista IncCollaborative Health Clinical Nursing Instructor (Part-Time)Miramar, FLFrom individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare. With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare professionals.
Field Nurse Practitioner (2 locations available: Tampa and Miami FL) Molina Healthcare IncField Nurse Practitioner (2 locations available: Tampa and Miami FL)Miami, FLProvides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and "pop up" clinics. Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
NewAdult Health/ Medical-Surgical Clinical Faculty (Part-Time): Miami, FL Covista IncAdult Health/ Medical-Surgical Clinical Faculty (Part-Time): Miami, FLMiami, FLOur College of Nursing offers a Bachelor of Science in Nursing (BSN) degree program at 23 campuses and online post-licensure degree programs and certificates including RN to BSN, RN to MSN, a Master of Science in Nursing (MSN) with six Specialty Tracks, and a Doctor of Nursing Practice (DNP). Actual pay may be adjusted based on job-related factors permitted by law, such as type of course taught; experience and training; geographic location; licensure and certifications; market factors; departmental budgets; and responsibility.
Transition of Care Coach (RN) - FL Molina Healthcare IncTransition of Care Coach (RN) - FLFLEducates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.