NewAssistant Director of Nursing - RN Care-OneAssistant Director of Nursing - RNHamilton Township, NJ$91,000–$95,000 / yearAlong with the Director of Nursing, promote positive employee relations, strong customer service ethic and commitment to ongoing staff education and training, May exercise direction over the department in the absence of the Director of Nursing. Assist the Director of Nursing with regulatory compliance and ensure effective communication strategies with all levels of nursing staff to promote effective care delivery.
NewAssistant Director of Nursing (ADON) Skilled Nursing of BrooklynAssistant Director of Nursing (ADON)Brooklyn, NY$55–$55A Skilled Nursing Facility in Brooklyn, NY is looking to hire an Assistant Director of Nursing (ADON). Assist the Director of Nursing Services (DNS) with management responsibilities and maintaining quality of care.
NewAssistant Director of Nursing Care-OneAssistant Director of NursingParsippany, NJ$114,000–$145,000 / yearAlong with the Director of Nursing, promote positive employee relations, strong customer service ethic and commitment to ongoing staff education and training, May exercise direction over the department in the absence of the Director of Nursing. Assist the Director of Nursing with regulatory compliance and ensure effective communication strategies with all levels of nursing staff to promote effective care delivery.
NewDirector of Nursing JobotDirector of NursingQueens, NY$190,000–$210,000 / yearInformation 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewAssistant Director of Nursing (ADON Beth Abraham CenterAssistant Director of Nursing (ADONThe Bronx, NY$130,000–$140,000A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
NewAssistant Director of Nursing (ADON) Bushwick CenterAssistant Director of Nursing (ADON)Brooklyn, NY$120,000–$130,000Bushwick Center for Rehabilitation and Healthcare is a 225-bed rehabilitation and skilled nursing facility located on the border of Brooklyn & Queens. Our staff is committed to ensuring the highest quality of life of all our residents, by maintaining each resident’s dignity and independence.
NewAssociate Director of Nursing Skilled Nursing of BrooklynAssociate Director of NursingBrooklyn, NY$150,000–$170,000A Healthcare Facility in Brooklyn, NY is hiring an Assistant Director of Nursing (ADON). DUTIES: Assist the DNS with management responsibilities and in maintaining the quality of care.
NewAssistant Director of Nursing (ADON) Skilled Nursing of BronxAssistant Director of Nursing (ADON)The Bronx, NY$130,000–$130,000Skilled Nursing of Bronx is hiring a Assistant Director of Nursing (ADON) in Bronx, NY. DUTIES: Assist the DNS with management responsibilities and in maintaining the quality of care.
NewDirector of Nursing/RN Brightview Senior Living, LLCDirector of Nursing/RNRandolph, NJ$132,000–$142,000You will provide nursing assessments and care oversight, identify clinical trends, implement corrective action and monitor the accurate delivery of medications to our residents, in addition to working with the residents’ physicians and medical personnel on the best plan of action for their continued care. This is a critical role within the Brightview community leadership team, and allows for the opportunity to create a dramatic and positive impact on our residents’ ability to live an active, vibrant life!
NewUnit Manager, RN Holly Manor CenterUnit Manager, RNMendham, NJ$100,000–$105,000Responsibilities: As a Unit Manager/Director - RN where within an assigned unit you will support the Director of Nursing with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee satisfaction. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewRegistered Nurse Care-OneRegistered NurseOradell, NJ$38–$60 / hourDirect day to day functions of Licensed Practical Nurses and Certified Nursing Assistants, assuring compliance with state and federal regulations and facility policies and processes. According to facility policy and procedure, assure that all members of the interdisciplinary team are aware of and understand changes in resident nursing and/or medical plan of care.
NewHealth Services Director, RN Brightview Senior Living, LLCHealth Services Director, RNParamus, NJ$120,000–$130,000After the community opens, you will get to provide ongoing nursing assessments and care oversight, identify clinical trends, implement corrective action and monitor the accurate delivery of medications to our residents, in addition to working with the residents’ physicians and medical personnel on the best plan of action for their continued care. About Us: Overview: The Health Services Director, Registered Nurse at Brightview Senior Living exemplifies the vision, the mission, and the vibrancy of the organization and leads the delivery of exceptional clinical care to our residents.
NewDirector of QM, Hospice & Palliative Care MJHSDirector of QM, Hospice & Palliative CareBayonne, NJMaintains knowledge of current trends and developments in areas of responsibility through membership in appropriate professional organizations, attend in services and continuing education to maintain current knowledge and expertise, maintain up to date knowledge of the laws regulation and payor requirements that affect policy and procedure. Ensures the consistent development, implementation and accountability of performance improvement initiatives to enhance processes that support the provision of high-quality care and ensures effectiveness of performance improvement projects.
NewRN Hospice Manager with 15K Sign on Bonus (Bronx NY) JobotRN Hospice Manager with 15K Sign on Bonus (Bronx NY)The Bronx, NY$150,000–$160,000 / yearInformation 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. The RN Hospice Manager will empower staff RN Case Managers through mentoring excellence in pain and symptom management along with focusing on patient and family goals of care.
NewRN Team Manager JobotRN Team ManagerNew York, NY$115,000–$143,000 / yearInformation 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. A NYC Metro Healthcare organization with over 100+ years of success in the community offering several services including hospice and palliative care, rehabilitation, and skilled nursing.
NewRN Shift Supervisor (Overnight) Care-OneRN Shift Supervisor (Overnight)Hackensack, NJ$44–$63 / hourThe RN Supervisor will be responsible for, but not limited to: Responsible for the day to day coordination and oversight of all aspects of nursing activities of the facility during her/his tour of duty. or a graduate of an approved LPN/LVN program and currently enrolled in an approved RN program and actively pursuing an RN Licensure.
NewRN Shift Supervisor Care-OneRN Shift SupervisorParsippany, NJ$44–$62 / hourThe RN Supervisor will be responsible for, but not limited to: Responsible for the day to day coordination and oversight of all aspects of nursing activities of the facility during her/his tour of duty. or a graduate of an approved LPN/LVN program and currently enrolled in an approved RN program and actively pursuing an RN Licensure.
RN Shift Supervisor - 3pm- 11pm - Part Time Care-OneRN Shift Supervisor - 3pm- 11pm - Part TimeEdison, NJ$45–$65 / hourThe RN Supervisor will be responsible for, but not limited to: Responsible for the day to day coordination and oversight of all aspects of nursing activities of the facility during her/his tour of duty. or a graduate of an approved LPN/LVN program and currently enrolled in an approved RN program and actively pursuing an RN Licensure.
NewDirector of Health & Wellness (RN/DON) Mattison CrossingDirector of Health & Wellness (RN/DON)Freehold, NJDiscovery Management Group leads one of the nation’s most purpose-driven and people-centered senior living organizations, managing and enhancing senior living communities across the United States. For residents who need structured routines and a higher level of attention, our SHINE® Memory Care community provides a secure, engaging environment supported by a trained team.
NewAssistant Nurse Manager - Endoscopy and Medical Procedures 1.0 FTE Variable Providence Health and ServicesAssistant Nurse Manager - Endoscopy and Medical Procedures 1.0 FTE VariableFive Corners, WA$60.35–$95.27 / hourSee Providence Health and Services Terms & Conditions at https://www.providence.org/utility-pages/privacy-policy#terms-of-use and Privacy Policy at https://www.providence.org/utility-pages/privacy-policy#privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As a recognized regional referral center , we deliver highly specialized services such as ERCPs, ESD, advanced ultrasound, advanced biopsy techniques utilizing the Intuitive ION robotic platform, esophageal stenting, and urgent and emergent procedures—supporting more than 7,000 procedures annually .
NewRegistered Nurse (RN) Supervisor Evening Shift Far Rockaway CenterRegistered Nurse (RN) Supervisor Evening ShiftQueens, NY$90,000–$108,000Far Rockaway Center is a 100-bed rehabilitation and skilled nursing facility located in Far Rockaway, New York. Our staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence.
NewTransplant Coordinator RN - Heart Transplant and VAD Per Diem On-Call Day Providence Health and ServicesTransplant Coordinator RN - Heart Transplant and VAD Per Diem On-Call DayFive Corners, WA$53.19–$82.58 / hourSee Providence Health and Services Terms & Conditions at https://www.providence.org/utility-pages/privacy-policy#terms-of-use and Privacy Policy at https://www.providence.org/utility-pages/privacy-policy#privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
Registered Nurse (RN) - Emergency Room ScionhealthRegistered Nurse (RN) - Emergency RoomRutherford, NJKeywords: Emergency Room Nursing, Patient Care, Medication Administration, Nursing Care Plans, Acute Care, Patient Assessment, Healthcare Team Coordination, Clinical Documentation, Pain Management, Patient Safety. Registered Nurse (RN) - Emergency Room at ScionHealth summary: A Registered Nurse (RN) in the Emergency Room provides direct and indirect patient care through assessment, planning, intervention, and evaluation.
NewRegistered Nurse (RN) Supervisor Weekends University CenterRegistered Nurse (RN) Supervisor WeekendsThe Bronx, NY$48–$52University Center is a 46-bed rehabilitation and skilled nursing facility located in the historic and serene neighborhood of the University Heights section of the Bronx. Our staff is devoted, loyal, and committed to providing optimum quality of care which fosters independence and maintains dignity.
NewRegistered Nurse (RN) Supervisor Hope CenterRegistered Nurse (RN) SupervisorThe Bronx, NY$104,000–$104,000We will maintain a comfortable, dignified environment where our residents can enjoy an engaged, healthy lifestyle that will be a constant steady source of peace of mind to their families. Hope Center’s mission is to provide the Hope Center community with the finest rehabilitation and skilled nursing services anywhere.
NewRegistered Nurse (E) Harmony Health GroupRegistered Nurse (E)Union, NJThe Registered Nurse performs a wide variety of job duties during their shifts, caring for and educating patients about their conditions, as well as establishing trust and building rapport with patients. We remain committed to expanding access to high-quality, evidence-based behavioral health care; delivered by a team of dedicated professionals who are passionate about making a difference.
NewHomecare CHHA Coordinator of Care RN - Manhattan JobotHomecare CHHA Coordinator of Care RN - ManhattanNew York, NY$115,000–$120,000 / yearInformation 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. Completes and submits OASIS assessments, reassessments, transfers, resumption of care, discharges, and significant changes in condition in accordance with Agency defined time frames.
NewRegistered Nurse (RN) Supervisor Weekends Beth Abraham CenterRegistered Nurse (RN) Supervisor WeekendsThe Bronx, NY$45–$55A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
NewRegistered Nurse (RN) Supervisor Overnight Shift Beth Abraham CenterRegistered Nurse (RN) Supervisor Overnight ShiftThe Bronx, NY$95,000–$120,000A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
NewNurse Practitioner, Advanced Practice Provider Oak Street HealthNurse Practitioner, Advanced Practice ProviderBronx, NY$104,442–$224,952Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital.
NewNurse Practitioner [Spanish Required] Oak Street HealthNurse Practitioner [Spanish Required]Brooklyn, NY$104,442–$224,952Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital.
NewNurse Practitioner [Spanish Preferred] Oak Street HealthNurse Practitioner [Spanish Preferred]Brooklyn, NY$104,442–$224,952Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on Medicare to keep them happy, healthy, and out of the hospital.
NewNurse Practitioner [Creole Preferred] Oak Street HealthNurse Practitioner [Creole Preferred]Queens, NY$104,442–$224,952Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital.
NewRN (Registered Nurse) Supervisor Nights/Evenings Brooklyn CenterRN (Registered Nurse) Supervisor Nights/EveningsBrooklyn, NY$100,000–$110,000A recognized leader in short-term rehab and long-term care, Brooklyn Center is committed to ensuring the highest quality of life for all our patients and residents, helping each to get stronger, healthier, and happier. Brooklyn Center for Rehabilitation and Healthcare is a state-of-the-art 281-bed rehabilitation and skilled nursing facility located in the Crown Heights section of Brooklyn.
NewNurse Practitioner, Advanced Practice Provider [Spanish Required] Oak Street HealthNurse Practitioner, Advanced Practice Provider [Spanish Required]Bronx, NY$104,442–$224,952As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNNew York, NY$90,000–$151,000 / yearOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
NewFull Time RN Supervisor Cedar Crest Village by Erickson Senior LivingFull Time RN SupervisorPompton Plains, NJ$95,000–$105,000 / yearLocation: Cedar Crest Village by Erickson Senior LivingJoin our team asa Registered Nurse (RN) Nursing Supervisor who is responsible for the delivery of resident care by licensed and non-licensed staff in our Continuing Care Neighborhoods, which include skilled nursing, long-term care, assisted living, and memory care. Perform walking rounds through all Continuing Care neighborhoods (skilled nursing, long term care, assisted living, and memory care) to ensure nursing staff are providing the highest level of resident care possible.
Clinical Nurse Manager – CNM – Inpatient Psychiatry-Medicine – 11North NewYork-PresbyterianClinical Nurse Manager – CNM – Inpatient Psychiatry-Medicine – 11NorthManhattan, NY$145,000–$168,000 / yearWe have also received designation from the American Nurses Credential Center Magnet Recognition Program for our amazing nursing care and professionalism in nursing practice. In collaboration with the Patient Care Director, you’ll participate in the establishment of short- and long-term goals and ensure its alignment with the hospital’s overall strategic goals.
NewAssistant Director of Social Services Care-OneAssistant Director of Social ServicesMorristown, NJ$53,000–$70,000 / yearSocial Service functions include but are not limited to: supervising social service staff, direct services, advocacy, counseling, service coordination, education, in-servicing, policy and program development and community relations. Provide for therapeutic intervention to help residents cope with the social and psychological aspects of their illnesses, impairments, or disabilities as well as their feelings about institutionalization and separation from family, community, physical and emotional loss.
Dialysis Nurse Manager Dialysis Clinic, Inc.Dialysis Nurse ManagerStaten Island, NY$93,600–$130,000 / yearDCI’s Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.
NewRegistered Nurse (RN) Supervisor Boro Park CenterRegistered Nurse (RN) SupervisorBrooklyn, NY$60–$60Boro Park Center for Rehabilitation and Healthcare is a 510-bed rehabilitation and Skilled Nursing Facility in the heart of the Boro Park section of Brooklyn. Our warm and nurturing environment allows each resident to maintain his or her Rehabilitation and Healthcare, healthier, happier, and most of all, with the tools to succeed.
NewDirector of Social Services Care-OneDirector of Social ServicesParamus, NJ$81,000–$100,000 / yearEnsures and documents that residents/families have input into the care planning process; Acts as liaison between residents, families, outside agencies, and the Center Administrator to ensure that the resident's rights are maintained; Takes responsibility for conducting family meetings as needed; functions in a management capacity and adheres to all policies and procedures of the Center as a representative of CareOne Administration; Performs administrative requirements such as completing necessary forms and reports under the direction of the Administrator and submitting such reports to the Administrator and/or consultants as required; Facilitates discharge planning including the development of an organized discharge plan for all customers; Concerns self with the safety of all Center residents in order to minimize the potential for fire and accidents. Also ensures that the Center adheres to legal, safety, health, fire, and sanitation codes by being familiar with his/her in carrying out the Center's fire, safety and disaster plans and by being familiar with current MSDS; Puts customer service first and adheres to the CareOne Culture of Excellence Pledge.
NewDirector of Admissions ($115K - $135K) Swedish Institute IncDirector of Admissions ($115K - $135K)New York, NY$115,000–$135,000 / yearSwedish Institute – College of Health Sciences is a private college in New York City dedicated to educating students for careers in healthcare fields such as nursing, massage therapy, and allied health programs. The ideal candidate brings a strong balance of data-driven strategy, team leadership, and a passion for helping students take the next step toward impactful careers.
NewOak Street Health New Graduate Nurse Practitioner Fellowship (Spanish Required) Oak Street HealthOak Street Health New Graduate Nurse Practitioner Fellowship (Spanish Required)Brooklyn, NY$104,442–$224,952Oak Street Health is on a mission to “rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. During the program, fellows spend time building their own patient panel, learning from a multitude of preceptors, and engaging in didactic content that aims to build on, not repeat, graduate training.
NewOak Street Health New Graduate Nurse Practitioner Fellowship (Bilingual Spanish Preferred) Oak Street HealthOak Street Health New Graduate Nurse Practitioner Fellowship (Bilingual Spanish Preferred)Bronx, NY$104,442–$224,952Oak Street Health is on a mission to “rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. During the program, fellows spend time building their own patient panel, learning from a multitude of preceptors, and engaging in didactic content that aims to build on, not repeat, graduate training.
NewRegistered Nurse (RN) Supervisor Evenings/Nights Richmond CenterRegistered Nurse (RN) Supervisor Evenings/NightsStaten Island, NY$90,000–$100,000Richmond Center for Rehabilitation and Healthcare is actively seeking an experienced RN Supervisor to work for our Skilled Nursing Facility located in Staten Island, NY. Richmond Center for Rehabilitation and Healthcare is a 372-bed rehabilitation and skilled nursing facility located in the borough of Staten Island.
Registered Nurse Encompass Health Rehabilitation Hospital of Tinton Falls, a Joint Venture with Monmouth Medical CenterRegistered NurseTinton Falls, NJOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing.
NewMLTC RN Case Manager - Registered Nurse - Bilingual Mandarin JobotMLTC RN Case Manager - Registered Nurse - Bilingual MandarinNew York, NY$100,000–$115,000 / yearInformation 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Patient Care Director - Neonatal ICU - Full Time NewYork-PresbyterianPatient Care Director - Neonatal ICU - Full TimeManhattan, NY$170,000–$217,000 / yearh2>As a 58-bed Level IV tertiary NICU, we care for newborns who require the highest level of neonatal intensive care including HIE requiring total body cooling, extremely low birth weight premature infants, newborns with complex surgical conditions and neonates with complicated respiratory disorders that might need ECMO. Our Level IV NICU has one of the lowest chronic lung disease rates in the whole country and our center has a world renowned NICU comfort care program as well being a fetal surgery center for neonates with neurological conditions like myelomeningocele.
NewVisiting Registered Nurse - 15K Sign on Bonus - Westchester NY JobotVisiting Registered Nurse - 15K Sign on Bonus - Westchester NYYonkers, NY$105,000–$125,000 / yearInformation 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. Successfully engage patient/caregiver to develop an individualized plan of care, promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency room utilization and hospital readmissions.