Local Contract Social Work - Licensed Clinical Social Worker - $31-33 per hour VyTalent SolutionsLocal Contract Social Work - Licensed Clinical Social Worker - $31-33 per hourLebanon, OH$31.25–$32.81 / hourBuilt on more than three decades of experience, VyTalent Solutions partners with hospitals, surgical centers, behavioral health facilities, schools, correctional healthcare environments, and community-based organizations nationwide. Requirements: · 2 years of experience as a Licensed Behavioral Health Professional · Valid Licensed Behavioral Health Professional license · Be willing to obtain Ohio licensure.
NewTravel Licensed Clinical Social Worker - Corrections - $1,267 per week Supplemental Health CareTravel Licensed Clinical Social Worker - Corrections - $1,267 per weekLebanon, OH$1,160–$1,267 / weekAs recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve. Apply today to get started with this Licensed Clinical Social Worker contract opportunity, or talk to our team about the full range of Social Worker opportunities available.
NewGrain Production Worker - Seasonal CargillGrain Production Worker - SeasonalHarveysburg, OH$18Performing facility operations such as loading/unloading trucks, vessels, barges, and rail cars, filling/reclaiming grain ground piles, and various other grain handling tasks. New, easy-to-apply options are available for this role: chat with our recruiting assistant Ana at careers.cargill.com or text CargillJobs to 60196.
NewTravel Social Work - Licensed Clinical Social Worker - $1,267 per week Supplemental Health CareTravel Social Work - Licensed Clinical Social Worker - $1,267 per weekLebanon, OH$1,160–$1,267 / weekAs recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve. Apply today to get started with this Licensed Clinical Social Worker contract opportunity, or talk to our team about the full range of Social Worker opportunities available.
Licensed Clinical Social Worker HeadwayLicensed Clinical Social WorkerFlorence, KYHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Clinical Social Worker (LCSW) HeadwayLicensed Clinical Social Worker (LCSW)Florence, KYHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Clinical Social Worker - Telehealth HeadwayLicensed Clinical Social Worker - TelehealthFlorence, KYHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Clinical Social Worker (Virtual) HeadwayLicensed Clinical Social Worker (Virtual)Florence, KYHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Clinical Social Worker (Remote) HeadwayLicensed Clinical Social Worker (Remote)Florence, KYRemoteHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Community Health Worker CVS Health CorpCommunity Health WorkerCincinnati, OH$18.50–$35.29 / hourCHWs work closely with Medical Social Workers to manage patient care plans, support care team decision making, and coordinate clinical and complementary services needed to provide high quality health care and improve the quality and cultural competence of service delivery. A CHW is a patient's advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives.
Community Health Worker, The Freeman Center, Full Time, First Shift UC HealthCommunity Health Worker, The Freeman Center, Full Time, First ShiftCincinnati, OHThe primary goal of the Community Healthcare Worker will be to identify patients who are in need of primary care, "medical home" needs, community resources and care coordination to promote basic healthcare access and meet social, physical and developmental needs for a diverse group of patient populations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center.
Community Health Worker II, Internal Medicine,Full Time, First Shift UC HealthCommunity Health Worker II, Internal Medicine,Full Time, First ShiftCincinnati, OHMembers of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. The primary goal of the Community Healthcare Worker will be to: Identify patients who are in need of primary care, medical home, community providers and UC Health outpatient services.
Community Health Worker Coordinator Alcona Health CenterCommunity Health Worker CoordinatorOHYour Valued Contributions: The Community Health Worker Coordinator is responsible for leading, coordinating, and supporting Community Health Worker (CHW) programs and initiatives that improve access to healthcare services, promote health equity, and address the social determinants of health within the communities served. Provide operational coverage during CHW absences by managing urgent patient needs, completing emergency department follow-up calls, monitoring team inboxes for time-sensitive tasks, and ensuring continuity of care through appropriate patient outreach and follow-up.
Community Health Worker or Housing Transition Coordinator National Church ResidencesCommunity Health Worker or Housing Transition CoordinatorCincinnati, OHThis exciting Transition Coordinator position works on-the-ground in the Central Ohio area and surrounding counties serving adults who are in need of housing and additional services to support their goal for independence. Collaborate closely with individual case managers to arrange services that align with each consumer's preferences and community resources, including physicians, pharmacies, and other essential providers.
Community Health Worker Or Housing Transition Coordinator National Church ResidencesCommunity Health Worker Or Housing Transition CoordinatorCincinnati, OHThis exciting Transition Coordinator position works on-the-ground in the Central Ohio area and surrounding counties serving adults who are in need of housing and additional services to support their goal for independence. Collaborate closely with individual case managers to arrange services that align with each consumer's preferences and community resources, including physicians, pharmacies, and other essential providers.
Community Health Worker - Cradle Cincinnati Children's Hospital Medical CenterCommunity Health Worker - CradleCincinnati, OHIf you provide content to customers through CloudFront, you can find steps to troubleshoot and help prevent this error by reviewing the CloudFront documentation. Generated by cloudfront CloudFront Request ID: te6yPefboY9hqR9ssfJLcwJTw8pZehbtxSi64xQZUtvd8qIGt-BeNg.
Social Worker - Home Care VITAS Healthcare CorpSocial Worker - Home CareCincinnati, OHSupported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients' lives. In addition to having your social work license, reliable transportation, and at least one year of social work experience in a health care setting, you''ll approach your work with the traits that make the VITAS Difference: Commitment, Compassion, and a Can-do Attitude.
SOCIAL WORKER United States ArmySOCIAL WORKERCincinnati, OH$100,602–$130,786 / yearMust have specialized experience in professional social work that includes interviewing people to establish the nature and extent of their problems, helping them work-out plans for improving the situation, providing assistance and services, referring them to community resources and other organizations as indicated, and assisting them to understand and modify their own patterns of behavior when appropriate. If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible for appointment in this agency ( https://www.sss.gov/RegVer/wfRegistration.aspx ).
Social Worker for Inpatient Psychiatry (Weekend Schedule) Cincinnati Children's Hospital Medical CenterSocial Worker for Inpatient Psychiatry (Weekend Schedule)Cincinnati, OH$61,401.60–$78,291.20 / yearThere are over 150 clinical social workers within the Social Service Division at Cincinnati Children's serving patients and families through their inpatient hospitalization(s) and providing ongoing services in the outpatient settings. What you get as a Social Worker at Cincinnati Children's: Base pay starting at $50,602.24 annually as a salaried/exempt employee (.8 FTE), and can increase based on years of experience post MSW.
Center for Women''s Health Social Worker (MSW), Part Time, First Shift UC HealthCenter for Women''s Health Social Worker (MSW), Part Time, First ShiftCincinnati, OHImplement a plan of care and monitor patient''s response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients. The social worker will provide education, consultation, and serve as a liaison to the healthcare team regarding the patient and families'' emotional, psychological, social, financial and developmental aspects of care.
NewHospice Social Worker Interim HealthCareHospice Social WorkerLawrenceburg, INFull timeLicensure: Current unrestricted license to practice as a Licensed Social Worker (LSW) in the state associated with this position required; Licensed Independent Social Worker (LISW) preferred. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Licensed Clinical Social Worker VOANS Sr Community Care of Northern KYLicensed Clinical Social WorkerFlorence, KY$65,000–$80,000 / yearPart timeSenior Community Care of Kentucky PACE (Northern) provides healthcare and supportive services for individuals age 55 and older, helping them live safely, comfortably, and independently in their own homes and communities. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.
Center for Women's Health Social Worker (MSW), Part Time, First Shift UC HealthCenter for Women's Health Social Worker (MSW), Part Time, First ShiftCincinnati, OHImplement a plan of care and monitor patient's response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients. The social worker will provide education, consultation, and serve as a liaison to the healthcare team regarding the patient and families' emotional, psychological, social, financial and developmental aspects of care.
NewOncology Social Worker (MSW), Full Time, First Shift UC HealthOncology Social Worker (MSW), Full Time, First ShiftCincinnati, OHImplement a plan of care and monitor patient''s response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients. The social worker will provide education, consultation, and serve as a liaison to the healthcare team regarding the patient and families'' emotional, psychological, social, financial and developmental aspects of care.
Mobile Crisis Social Worker (MSW), PRN, First Shift UC HealthMobile Crisis Social Worker (MSW), PRN, First ShiftCincinnati, OHImplement a plan of care and monitor patient''s response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients. The social worker will provide education, consultation, and serve as a liaison to the healthcare team regarding the patient and families'' emotional, psychological, social, financial and developmental aspects of care.
Social Worker (MSW), Neurology, Part Time, First Shift UC HealthSocial Worker (MSW), Neurology, Part Time, First ShiftCincinnati, OHImplement a plan of care and monitor patient''s response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients. The social worker will provide education, consultation, and serve as a liaison to the healthcare team regarding the patient and families'' emotional, psychological, social, financial and developmental aspects of care.
Custody Evaluator/Social Worker - Counselor Hamilton County, OhioCustody Evaluator/Social Worker - CounselorCincinnati, OhioPosition Title : Custody Evaluator/Social Worker - Counselor Location : Cincinnati, Ohio Deadline to Apply: Open Until Filled Work Location: Hamilton County Domestic Relations Court 800 Broadway Cincinnati, OH 45202 Work Hours: Full-time/70 hours bi-weekly 8:00 a.m. POSITIONS SUPERVISED N/A KNOWLEDGE, ABILITIES, AND SKILLS (may be developed after employment) Knowledge of: Clinical interviewing techniques, conflict/dispute resolution techniques, divorce and family dynamics, and child developmental issues, as well as court procedures, legal concepts, and legal language.
NewOncology Social Worker (MSW), Full Time, First Shift UC Health, LLCOncology Social Worker (MSW), Full Time, First ShiftCincinnati, OHFull timeImplement a plan of care and monitor patient's response: Provide individual/family counseling, and social work intervention, as it relates to complex crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic violence, partner violence, elder abuse, competency, and any other psychosocial barriers in order to maximize the health status of patients. The social worker will provide education, consultation, and serve as a liaison to the healthcare team regarding the patient and families' emotional, psychological, social, financial and developmental aspects of care.
Social Worker (SW) Palliative Care SEH Saint Elizabeth Medical CenterSocial Worker (SW) Palliative CareEdgewood, KentuckyProvides psychosocial assessments, assists in care planning in coordination with the members of the Palliative Care team, Hospital Staff and Physicians. Licensed Clinical Social Worker or Certified Social Worker willing to participate in active supervision toward achieving LCSW.
Medical Social Worker Alternate Solutions Health NetworkMedical Social WorkerCincinnati, OhioWe've launched a new guaranteed base salary plus a generous, uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey.
Social Worker (Substance Abuse) United States ArmySocial Worker (Substance Abuse)Cincinnati, OH$89,508–$133,142 / yearIn addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Specialized Experience: One year of specialized experience equivalent to the GS-11 grade level in the Federal service which includes: 1) performing professional counseling and addiction medicine treatment in support of patients with an alcohol and substance abuse diagnosis; 2) applying complex rehabilitation principles to conduct comprehensive substance use evaluations; AND 3) conducting ongoing review of patient progress; evaluating and modifying treatment plans to meet changing needs. FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
Hospice Social Worker Otterbein SeniorLifeHospice Social WorkerSpringboro, OHAttends and participates in scheduled interdisciplinary team meetings (IDT) to coordinate care plans, follow up on changes, problem solve, identify social problems, their severity and interrelatedness to the medical situations, as well as, assessing family strengths and weaknesses and discussing alternate methods of alleviating the situation. Function as an expert and facilitator at obtaining and making referrals to community resources to meet the needs of patients and families including obtaining financial assistance when indicated and referring patients and families to community agencies with appropriate follow-up.
Custody Evaluator/Social Worker - Counselor Hamilton County, OHCustody Evaluator/Social Worker - CounselorCincinnati, OHInterview litigants and their children, assess parental functioning and parent/child relationships utilizing clinical techniques with a focus on family dynamics and child development issues. Access to Marathon Health Clinics in Cincinnati, offering services such as primary care, illness and injury care, labs, medication dispensing, and wellness services - all at no cost!
Social Worker II-MSW - Main Campus - Full Time - Days The Christ Hospital Health NetworkSocial Worker II-MSW - Main Campus - Full Time - DaysCincinnati, OHAssess patient/family environmental risk factors, patient/family/community support systems, age-related/developmental issues, financial barriers, health literacy, chemical dependency/mental health, Social Determinants of Health needs, and any risk of abuse/neglect/financial exploitation/intimate partner violence. Provide psychosocial intervention for: neglect/abuse/intimate partner violence/human trafficking; adjustment to illness; bereavement and mental health; substance abuse; non-compliance, and other psychosocial barriers to diagnosis and treatment.
Clinical Social Worker - Fee For Service ThriveworksClinical Social Worker - Fee For ServiceCincinnati, OhioWith Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address. As a clinician-led organization, we're built to support the people who do this work with the tools, community, and stability you need to build a career that lasts.
Clin Counselor/Social Worker, University Health Services, Dept of Psychiatry&Behavioral Neuroscience University of CincinnatiClin Counselor/Social Worker, University Health Services, Dept of Psychiatry&Behavioral NeuroscienceCincinnati, OHReal Work-Life Balance UC prioritizes work-life balance with a generous time-off policy, including: Vacation and sick time 11 paid holidays and additional end-of-year paid time off (Winter Season Days) 6 weeks of paid parental leave for new parents Additional Benefits Include: Competitive salary based on experience Comprehensive health coverage (medical, dental, vision, prescription) Flexible spending accounts & wellness programs Professional development & mentorship opportunities To learn more about why UC is a great place to work, please visit our Careers Page. Job Description Apply now Job Title: Clin Counselor/Social Worker, University Health Services, Dept of Psychiatry&Behavioral Neuroscience Posting Start Date: 4/23/26 Work Arrangement: Onsite Current UC employees must apply internally via SuccessFactors Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation's best urban public research universities.
Licensed Social Worker MSW PRN Amedisys, Inc.Licensed Social Worker MSW PRNCrestview Hills, Kentucky$30–$33.50 / hourPer diemOverview: Licensed Social Worker - Masters Social Work Required, Healthcare Social work Required PRN weekdays - 1 day per week but flexible on scheduling. Ensures that changes in the patient's clinical status are communicated to other healthcare team members and the care center office staff in a timely manner.
NewMedical Social Worker The Christ HospitalMedical Social WorkerCincinnati, OhioWe've launched a new guaranteed base salary plus a generous, uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey.
Licensed Clinical Social Worker Volunteers of America National ServicesLicensed Clinical Social WorkerFlorence, KentuckySenior Community Care of Kentucky PACE (Northern) provides healthcare and supportive services for individuals age 55 and older, helping them live safely, comfortably, and independently in their own homes and communities. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.
Social Worker - Discharge Planning Owensboro Medical Health SystemSocial Worker - Discharge PlanningOwensboro Health Regional Hospital - Owensboro, KYJob Summary: Facilitates cost-effective, high quality patient transitions of care and outcomes by collaborating with staff and providing guidance, education, and support to assigned patients. SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
Social Worker - MSW Suncrest HospiceSocial Worker - MSWCincinnati, OhioProvides direct social casework services to clients and families including assisting with goal setting, counseling, and planning and providing interventions. Ability to establish and maintain effective working relationships with clients and families, staff members, outside agencies and institutions, and the general public.
Social Worker Care Manager - Clermont Hospital Mercy HealthSocial Worker Care Manager - Clermont HospitalBatavia, OHJob Summary: The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. Essential Functions: Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.
Licensed Social Worker CarespringLicensed Social WorkerLoveland, OhioCoordinates discharge planning for patients by arranging for follow up community services, home health referrals and alternative placements, Acts as an advocate for residents and families in regard to resident rights issues. Attends administrative staff meetings, morning report, Performance Improvement meetings, resident care-related meetings, and quarterly staff meetings.
Licensed Independent Social Worker, Department of Psychiatry and Behavioral Neuroscience University of CincinnatiLicensed Independent Social Worker, Department of Psychiatry and Behavioral NeuroscienceCincinnati, OHThe Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC), College of Medicine (COM) is seeking a Licensed Independent Social Worker (LISW) to provide clinical mental health services as part of a triage and intake team in ambulatory psychiatry focusing on rapid risk assessment, triage, crises stabilization and post hospitalization stabilization bridge services. Home to more than 53,600 students, 12,000 faculty and staff, and over 360,000 living alumni, UC, a Carnegie 1 institution, combines research prowess with a physical setting The New York Times has called "the most ambitious campus design program in the country."
PRN/Part Time - Medical Social Worker (MSW) - Home Health - Mason, TX Frontpoint HealthPRN/Part Time - Medical Social Worker (MSW) - Home Health - Mason, TXMason, OhioJob Title: PRN/Part Time - Medical Social Worker - Home Health Location: Mason, TX, 76856 Agency: Hill country Preferred Senior Care Responsibilities : Assists the patients, significant others, physician, and health care team staff to understand significant personal, emotional, environmental, and social factors and difficulties related to the patient'shealth problems; which interfere with maximizing the benefit of medical services and the plan of care. Qualifications Required: A person who has a master's degree (MSW) from a school of social work accredited by the Council on Social Work Education, or the individual must be licensed in the State of Texas.
Social Worker (Sw) Palliative Care St. Elizabeth HealthCareSocial Worker (Sw) Palliative CareEdgewood, KYProvides psychosocial assessments, assists in care planning in coordination with the members of the Palliative Care team, Hospital Staff and Physicians. Licensed Clinical Social Worker or Certified Social Worker willing to participate in active supervision toward achieving LCSW.
Social Worker (SW) Palliative Care St. Elizabeth HealthcareSocial Worker (SW) Palliative CareEdgewood, KYProvides psychosocial assessments, assists in care planning in coordination with the members of the Palliative Care team, Hospital Staff and Physicians. Licensed Clinical Social Worker or Certified Social Worker willing to participate in active supervision toward achieving LCSW.
Social Worker Care Manager - Clermont Hospital Bon Secours Mercy Health IncSocial Worker Care Manager - Clermont HospitalBatavia, OHJob Summary: The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. Essential Functions: Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.
Social Worker MSW Suncrest Hospice LLCSocial Worker MSWCincinnati, OHProvides direct social casework services to clients and families including assisting with goal setting, counseling, and planning and providing interventions. Ability to establish and maintain effective working relationships with clients and families, staff members, outside agencies and institutions, and the general public.
Social Worker (SW) Skilled Nursing SEH Saint Elizabeth Medical CenterSocial Worker (SW) Skilled NursingEdgewood, KentuckyCollaborates with the interdisciplinary team to ensure timely interventions to support the patient transition to the next level of care at the point they are medically ready to transition. Works with post-acute care providers to ensure coordinated and timely patient transitions.