Reach Program Coordinator Pace Center for Girls, Inc.Reach Program CoordinatorWilton Manors, FLPart timeAssist with wrap-around care (case) management services as needed, including transportation services, field trips and other extracurricular activities; collaborate with outside entities and community providers involved in girls’ care, make referrals as appropriate, and advocate for needed resources. Provide oversight to therapists in the provision of therapy and wrap-around care (case) management services to girls aimed at building resiliency and decreasing risk-related behaviors through a holistic clinical framework.
Health Navigator (6561) The Salvation Army USAHealth Navigator (6561)Miami, FLThis position is responsible for: Provides subject matter expertise in evaluating, supporting and coordinating healthcare and care needs assisting clients in gaining access to health care through community resources, supporting health care plans by identifying and resolving barriers to care and providing education on OnMEd Care Station Services and other related wellness related topics. Provides comprehensive case management and care coordination across episodes of care; serves as a health coach by proactively supporting the patient; coordinate follow-up actions and return visits; explains OnMEd Care Station services.
Patient Advocate Rep - Bilingual - Hialeah Conifer Revenue Cycle SolutionsPatient Advocate Rep - Bilingual - HialeahHialeah, FLConifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment.
Patient Advocate Rep - Bilingual - Coral Gables Conifer Revenue Cycle SolutionsPatient Advocate Rep - Bilingual - Coral GablesCoral Gables, FLConifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment.
NewPatient Advocate Representative - Billingual Tenet Healthcare CorpPatient Advocate Representative - BillingualCoral Gables, FLConifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment.
Patient Advocate Rep - Bilingual - Lauderdale Lakes Conifer Revenue Cycle SolutionsPatient Advocate Rep - Bilingual - Lauderdale LakesLauderdale Lakes, FLConifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment.
Patient Advocate Representative Conifer Revenue Cycle SolutionsPatient Advocate RepresentativeLauderdale Lakes, FLConifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment.
NewHospice RN Care Manager (Per Diem) Independent Living Systems LLCHospice RN Care Manager (Per Diem)Miami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Hospice RN Care Manager collaborates closely with interdisciplinary teams, including physicians, social workers, chaplains, and aides, to ensure seamless communication and continuity of care.
Victim Advocate Intern City of HialeahVictim Advocate InternHialeah, FloridaThe intern will gain experience to information on the criminal justice process, victim rights, crisis intervention skills, community resources available to crime victims, safety planning and the victim compensation program. The Victim Advocate Intern will assist the victim advocate unit with office duties such as: filing, faxing, creating notes, emailing information, mailing informational material, etc.
NewCare Manager (BH Licensed) - Miami-Dade/Florida Keys Molina Healthcare IncCare Manager (BH Licensed) - Miami-Dade/Florida KeysMiami, FLThe ideal candidate will have a strong background in case management and care coordination for members with serious mental illness (SMI) and substance use disorder (SUD), ensuring seamless transitions of care across inpatient, outpatient, and community-based settings. This role requires expertise in multidisciplinary collaboration, member advocacy, crisis intervention, discharge planning, and connecting members to appropriate behavioral health and community resources to improve outcomes and reduce readmissions.
Territory Manager - Substance Use Disorder (Fort Lauderdale Area) You Are AccountableTerritory Manager - Substance Use Disorder (Fort Lauderdale Area)Fort Lauderdale, FL$60,000–$75,000 / yearThe clinicians, discharge planners, and community partners in your market decide every day where to send someone who needs support after treatment, alongside treatment, or instead of waiting until things get worse. Every member is matched with a certified peer recovery coach who has been through recovery themselves, supported by daily breathalyzer monitoring, remote drug testing, and recovery groups, all delivered virtually.
Assistant Director, International Services University of MiamiAssistant Director, International ServicesCoral Gables, FLCollaborate with the Council of International Students and Organizations (COISO) Advisors and student service departments to help provide special services to the international community and promote meaningful cultural enrichment opportunities. General Description (Purpose and Function): The Assistant Director, International Student and Scholar Services is responsible for ensuring compliance with federal regulations and reporting requirements and advising international students on maintaining nonimmigrant visa status as well as a variety of other matters.
NewCare Coordinator (IDD Pilot Program) Independent Living Systems LLCCare Coordinator (IDD Pilot Program)Fort Lauderdale, FLCore responsibilities include assessing individual needs, developing person-centered support plans, coordinating services and supports, facilitating seamless transitions between care settings, and monitoring progress to adjust care plans as needed. Acting as an advocate and liaison between members, their families, and the care delivery system, the Care Coordinator (IDD) helps ensure care aligns with clinical guidelines, individual preferences, and program requirements while supporting optimal outcomes throughout the member's care journey.
Care Worker Integrated Resources, IncCare WorkerMiami, FloridaContractorTrouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.
Family Self Sufficiency Coordinator Quadel Consulting & Training LLCFamily Self Sufficiency CoordinatorMiami, FLResponsible for planning, developing, implementing, maintaining, evaluating and overseeing programs designed to increase the economic self-sufficiency of low-income families to reduce their need for subsidized programs and services. Any combination of education and experience equivalent to graduation from an accredited college or university with major course work in social work or related field and extensive office management and case management experience.
NewSocial Worker Veterans Health AdministrationSocial WorkerMiami, FLThe full performance level of this vacancy is GS-11 The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 to GS-11 Physical Requirements: Day-to-day work involves sitting, walking, standing and carrying light objects, such as medical records Work is typically performed in a clinical setting that exposes the incumbent to the communicable disease common of the homeless population. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
OUTREACH WORKER (HIP) Community Health of South Florida Inc.OUTREACH WORKER (HIP)Miami, FLOutreach Worker must collaborate with other caregivers (i.e. prevention case manager, medical care provider, Nutritionist, prescription drugs provider, etc.) to ensure that the client receives coordinated, interdisciplinary support for adherence and assistance in meeting treatment objectives. Develops a working relationship with the various clinics and hospitals, community health centers, community social services centers and case managers as a source of referrals for patients who may be lost to care at these locations.
Family Self Sufficiency Coordinator Quadel Consulting & TrainingFamily Self Sufficiency CoordinatorMiami, FLResponsible for planning, developing, implementing, maintaining, evaluating and overseeing programs designed to increase the economic self-sufficiency of low-income families to reduce their need for subsidized programs and services. QUALIFICATIONS Any combination of education and experience equivalent to graduation from an accredited college or university with major course work in social work or related field and extensive office management and case management experience.
Family Self Sufficiency Coordinator Quadel ConsultingFamily Self Sufficiency CoordinatorMiami, FLResponsible for planning, developing, implementing, maintaining, evaluating and overseeing programs designed to increase the economic self-sufficiency of low-income families to reduce their need for subsidized programs and services. Any combination of education and experience equivalent to graduation from an accredited college or university with major course work in social work or related field and extensive office management and case management experience.
NewCounselor (7144) The Salvation Army USACounselor (7144)Miami, FLManages and monitors assigned caseload of Beneficiaries participating in a rehabilitation program; develops program plan/goals and evaluates beneficiaries progress by conducting routine meetings with Beneficiaries and/or staff; serves as advocate for Beneficiaries in order to acquire services that will enable them to functionally cope with their environment. A minimum of two (2) years of satisfactory employment experience working in direct case management, social services or related field.
LTSS Service Coordinator - Clinician Elevance HealthLTSS Service Coordinator - ClinicianMiami, FloridaThe LTSS Service Coordinator- Clinician is responsible for working under the direction/supervision of an RN or a Licensed Social Worker, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN or LSW with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewSpecialist Health and Wellbeing Coach MaximusSpecialist Health and Wellbeing CoachMiami, FLFull timeTo provide medium and high need nutritional and behaviour change services for eligible participants, empowering children, families, and adults to manage their weight and lifestyle-behaviours effectively and support service users / participants in achieving their own self-identified health and wellbeing goals. The Specialist Health & Wellbeing Coach provides individually tailored diet, nutrition, and behaviour change advice to service users / participants (adults and/or children, young people, and families) to manage their weight and make sustainable changes to improve their overall health and wellbeing.
INVESTIGATIVE ANALYST: SOCIAL MEDIA Kentech Consulting IncINVESTIGATIVE ANALYST: SOCIAL MEDIAMiami, FLRemoteFull timeTo be considered, candidates must currently reside in one of the following states due to operational and compliance requirements: Florida, Georgia, Illinois, North Carolina, New Jersey, South Carolina, South Dakota, Texas, Virginia, or Washington. In this role, you will conduct fact-based social media and online presence investigations, identify inconsistencies and potential risk indicators, and produce clear, well-written reports that meet quality and compliance expectations.
SFAN Care Coordinator, AIDS Grants, Jackson Memorial Hospital, FT, Days Jackson Health SystemSFAN Care Coordinator, AIDS Grants, Jackson Memorial Hospital, FT, DaysMiami, FLJackson 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 team of healthcare professionals. Demonstrates effective interpersonal communication skills through the development and maintenance of productive working relationships with medical staff, nursing, ancillary departments, administrative staff and peers.
Discharge Planner University of MiamiDischarge PlannerMiami, FLUHealth-University of Miami Health System, South Florida's 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. Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process.
Licensed Clinical Social Worker (EST) Tuesday HealthLicensed Clinical Social Worker (EST)Miami, FLRemoteIn this value-based care model, the LCSW plays a critical role in addressing the psychosocial, emotional, and practical needs of patients and their families, supporting care coordination, goal-aligned decision-making including advance care planning and serious illness conversations, and improved quality of life across the continuum of care. Utilize Tuesday Health's electronic systems, tools, and technology to document clinical assessments, interventions, and care plans, supporting coordinated care delivery and quality measurement in a value-based environment.
Area Coordinator Barry UniversityArea CoordinatorMiami Shores, FLThe AC reports to the Associate Director for Residence Education and also receives work assignments from the Director of Housing and Residence Life, the Associate Director for Business Operations, and the Associate Vice President and Dean of Students as appropriate. The Area Coordinator serves as a designated conduct hearing officer for the Dean of Students Office, receiving case assignments, conducting hearings, determining responsibility, and assigning sanctions in accordance with university policy and the Student Code of Conduct.
Lead Product Manager - Legal Technology Lennar CorporationLead Product Manager - Legal TechnologyMiami, FLThis is a high-impact leadership role for someone who can own a multi-platform roadmap — including Contract Lifecycle Management (CLM), ServiceNow – Legal Service Delivery (LSD), Legal Tracker, and DocuSign — lead a blended team of Technical Analysts and staff augmentation partners, and represent Corporate Systems in front of executive stakeholders. Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career.
Senior Fraud, Waste and Abuse (FWA) Investigator PacificSource Health PlansSenior Fraud, Waste and Abuse (FWA) InvestigatorFL$65,296.83–$111,004.62 / yearEssential Responsibilities: Independently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork.
Bilingual Mental Health Therapist Kidney Care evolvedMDBilingual Mental Health Therapist Kidney CareMiami, FLThe Behavioral Health Manager is a core member of an integrated care team that includes the patient's dialysis care team, nephrologists, and social workers, seeing patients in-person and virtually based on-site at the kidney care facility. Demonstrated experience supporting patients and families facing serious illness, end-of-life concerns, grief, and loss (e.g., long-term care, hospice, palliative care, oncology, or other high-acuity medical settings).
Lead, Healthcare Services (Remote in Florida) Molina Healthcare IncLead, Healthcare Services (Remote in Florida)FLRemoteProvides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW).
Salesforce Delivery Manager Channel/Portal Squad Remote KnowBe4 IncSalesforce Delivery Manager Channel/Portal Squad RemoteFLRemote$120,000–$140,000 / yearWe offer company-wide bonuses based on monthly sales targets, employee referral bonuses, adoption assistance, tuition reimbursement, certification reimbursement, and certification completion bonuses - all in a modern, high-tech, and fun work environment. The KnowBe4 Platform provides attack simulation and training, collaboration security, and agent security powered by AIDA (Artificial Intelligence Defense Agents) and a proprietary Risk Score.
Mental Health Therapist EvolvedMD LLCMental Health TherapistMiami, FLThe Behavioral Health Manager is a core member of an integrated care team that includes the patients dialysis care team, nephrologists, and social workers, seeing patients in-person and virtually based on-site at the kidney care facility. Demonstrated experience supporting patients and families facing serious illness, end-of-life concerns, grief, and loss (e.g., long-term care, hospice, palliative care, oncology, or other high-acuity medical settings).
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEMiami, FLRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Project Manager, CS Operations Modernizing Medicine IncProject Manager, CS OperationsFLGenerous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. This role will support the Operational Excellence program in defining the business cases, how we will measure the return to value on the proposed initiatives, and work with the project team to manage the scope, schedule, and budget necessary to deliver the implementation of process excellence, business integration, technology adoption, and/or operational readiness projects.
FRACTIONAL GROWTH HACKER Kentech Consulting IncFRACTIONAL GROWTH HACKERMiami, FLRemote$4,000–$8,000Full timeBacked by KENTECH Consulting Inc., an award-winning investigative and background screening firm with more than 20 years of experience, eKnowID combines technology, compliance, and real investigative expertise in one easy-to-use platform. eKnowID is a modern background screening platform built for small and mid-sized businesses that need fast, reliable, investigator-grade hiring protection without enterprise-level complexity or pricing.
Charter School - Occupational Therapist (OT) The Stepping Stones Group LLCCharter School - Occupational Therapist (OT)FLRemoteCenter-Based ABA Therapy. Summer Intensive Program.
Speech Language Pathologist (SLP) The Stepping Stones Group LLCSpeech Language Pathologist (SLP)FLRemoteCenter-Based ABA Therapy. Summer Intensive Program.
Success Coach III - Marriage Matters Dept Be Strong International, IncSuccess Coach III - Marriage Matters DeptPalmetto Bay, FLProgram Promotion & Community Outreach - Proactively pitch the program to community partners, churches, and organizations to recruit participants and increase program visibility, achieving quarterly recruitment goals asestablished by the Program Manager. Proven track record of facilitation toward achieving participant engagement and enrollment targets Demonstrated knowledge of positive, practical healthy relationship education, with a passion for helpingfamilies achieve positive life outcomes.
STOPP-E COUNSELOR BORINQUEN HEALTH CARE CENTER INCSTOPP-E COUNSELORMiami, FLThe Counselor will be responsible to provide screening, assessment, counseling, and HIV/Hepatitis education to individuals and families struggling with substance abuse issues, mental illness, trauma, and/or co-occurring disorders. Provide pretreatment and risk reduction counseling to substance abuse clients using CRCS (Comprehensive Risk Counseling Services).
Human Services Coordinator Broward County GovernmentHuman Services CoordinatorOakland Park, FL$56,594.07–$90,324.66 / yearInternational degrees must be evaluated by an approved member of the National Association of Credential Evaluation Services (NACES) www.naces.org/members or the Association of International Credential Evaluators (AICE) https://aice-eval.org/endorsed-members . All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.
Oracle Gen AI Manager Deloitte Touche Tohmatsu LtdOracle Gen AI ManagerMiami, FL$134,500–$265,100 / yearYou will help organizations improve automation, insight, and operational efficiency while applying emerging technologies such as Microsoft Copilot, Google Cloud Agent Space, LangGraph, Glean, and other enterprise AI platforms to drive business value. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Flight Hours Services Repair Manager (Contract) Airbus SEFlight Hours Services Repair Manager (Contract)Miami, FLEquipment Operation (personal computer, telephone, copies, fax machine, and related office equipment and using electronic identification card to enter building floors and internal doors): Daily able to operate most office and personal electronic equipment and some tools including production tools such as hydraulic lifts. The custom-designed, 110,000-square-foot complex trains more than 2,000 cadets each year in a range of (six) full-flight simulators, innovative computer-based training classrooms, and cabin door and slide trainers - all simulating the A320, A330, A340 and A350 XWB families of aircraft.
Program Manager, Customer Experience (WOW Programs) ChewyProgram Manager, Customer Experience (WOW Programs)Plantation, Florida$86,500–$138,500 / yearThink critically and closely follow the customer lifecycle to ensure WOW programs align with critical customer milestones as part of a comprehensive engagement strategy, creating experiences they never expected but immediately recognize as uniquely Chewy. Chewy is seeking a highly creative and innovative Program Manager for its “WOW” team, a customer experience leader passionate about creating genuine, memorable moments that surprise and delight our pet parents and their pets.
CHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60060656 Government of FloridaCHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60060656MIAMI, FLMust be physically able and have the ability to perform the following physical agility tasks: a.) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells, b.)assist with evacuation of persons served during an emergency situation, c.) have normal vision and hearing, including use of corrective devices, d.) do repetitive movements with arms, hands, neck and head, e.) bend, twist, turn, kneel, stoop, squat, push, pull, lift and walk extended distances, f.) lift and carry up to 30 pounds, g.) assist clients in and out of properties, vehicles and safety equipment/devices, h.) sit and/or stand for periods of time without a break, i.) work 16 hour shifts on occasion, j.) remain alert while on duty, k.) drive a vehicle (car or passenger van) to transport clients, during both daytime hours and nighttime hours. How you will make an impact: Supervise, plan and direct workloads, work flows, deadlines, work objectives and time utilization of subordinate staff in the delivery of protecting children, working with families and conducting investigations of alleged abused, abandoned, neglected or exploited children.
Litigation Paralegal Rogers, Morris & Ziegler LLPLitigation ParalegalFort Lauderdale, FloridaEfficiently handle all administrative tasks including answer and direct phone calls, open new files, schedule appointments, scan, copy, save documents, and send out mailings. Work with a leadership team that values the team, clients, and community and is dedicated to delivering quality, personalized legal services while fostering a workplace that cares for one another.
Sr. Manager, Digital Marketing Analytics, Popeyes, US Restaurant Brands International IncSr. Manager, Digital Marketing Analytics, Popeyes, USMiami, FLManager, Digital Analytics is responsible for measuring the effectiveness of Popeyes' media investment and turning first-party customer data into smarter audiences, sharper campaigns, and a more personalized guest experience. RBI is committed to growing the TIM HORTONS, BURGER KING, POPEYES and FIREHOUSE SUBS brands by leveraging their respective core values, employee and franchisee relationships, and long track records of community support.
Charter School - ESE Specialist The Stepping Stones Group LLCCharter School - ESE SpecialistPembroke Pines, FLCenter-Based ABA Therapy. Summer Intensive Program.
Sr. Marketing Manager First Entertainment Credit UnionSr. Marketing ManagerFLRemote$115,000–$145,000 / yearThis position also supports the CineFi marketing P&L, manages external marketing partners to ensure high-quality execution and alignment with strategic objectives, assesses campaign effectiveness, and develops data-informed strategies that strengthen brand awareness, deepen member engagement, and deliver measurable business outcomes. Collaborate with executive leadership and outside marketing agencies to develop and lead the CineFi marketing strategy, translating business priorities into integrated campaigns and programs that drive awareness, acquisition, engagement, and retention.
Respiratory Sales Representative Sleep Management LLCRespiratory Sales RepresentativeMiami, FLPart timeDevelop sales territory action plans and call strategies to maintain ongoing business with current accounts and apply working knowledge of clinical, consultative, and strategic selling skills to drive new market potential to grow the business within assigned territory. While our Respiratory Therapists provide the highest level of clinical care and support for our patients, our Sales Representatives work in conjunction with healthcare decision-makers to ensure a comfortable transition for the patient from the hospital to their home.