Pennsylvania Licensed Transition of Care Associate

Job Summary

To support patient engagement and care coordination, the full-time Pennsylvania Licensed Transition of Care Associate will interact with patients and families post-discharge, manage care gap reports, and collaborate with interdisciplinary teams in a remote setting.

Key responsibilities

• Conduct patient outreach through telephonic communication and in-person home visits to promote engagement and care continuity
• Manage post-discharge reports and ensure accurate documentation in tracking systems
• Collaborate with nursing and care teams to address barriers to ongoing care and coordinate patient engagement strategies

Required qualifications

• High School Diploma/GED with relevant healthcare experience or a Specialized Diploma in Medical Assisting or related field
• 3 years of experience in a complex health system environment or less than 1 year with a Specialized Diploma
• Proficient in Microsoft Office applications and knowledgeable in medical terminology
• Ability to handle multiple tasks simultaneously and maintain strict confidentiality
• Experience with electronic medical records and scheduling software