Module 5: Care Coordination and Transition Management: Patient-Centered Care Planning

Collection: Care Coordination and Transition Management

Type: Session

Speakers:

• Anne T. Jessie, DNP, RN, Managing Director of Clinical Operations, Evolent Health
• Kathleen T. Sheehan, MS, BSN, RN-BC, CH-GCN
• Judith Toth-Lewis, RN, BSN, MSN, PhD

Tags: assessment care coordination competency cctm transition management patient-centered care planning motivational interviewing plan of care interventions risk identification