Transitions Care Coordinator

Summary

Join One Medical's expanding Transitions Care Coordinator team and support patients and in-office care teams by tracking and monitoring One Medical Senior Health patients discharged from various healthcare settings. You will communicate with patients to ensure appropriate follow-ups and prevent readmissions. The ideal candidate is a strong team player, detail-oriented, and passionate about seniors' health. This role involves collaborating with care teams, hospitals, and other healthcare organizations. You will also engage in process building and development for a new team approach. This is a full-time remote position offering a competitive compensation package and robust benefits.

Requirements

• At least 1 year of patient facing experience in a healthcare setting required
• A proven track record of persisting through change, demonstrating a forward thinking perspective when under pressure, and consistently stepping up to take action on challenges
• Understanding of Mac iOS, Google suite

Responsibilities

• Assist the care coordination team, primary care offices, and patients with care coordination for ER visits/stays, acute and post-acute care facility admissions and discharges
• Act as a liaison with care teams and outside medical providers where appropriate
• Work collaboratively with hospitals, post-acute facilities, and home health organizations
• Monitor acute and post-acute care facility admissions, lengths of stay and clinical outcome and provide feedback as needed
• Field incoming phone calls/messages from patients and their families and appropriately addressing those needs or provide hand off to other key team members in an appropriately urgent manner
• Coordinates discharge, follow up appointments, and nurse follow up calls as appropriate
• Initiating outbound administrative requests, by phone and in writing, such as medical record requests
• Sorting and triaging of incoming faxes, including scanning and appropriate e-filing
• Engage in process building and development for a new team approach by listening, sharing input and ideas, and enacting decisions and plans

Preferred Qualifications

• Strong written and verbal communication skills; Spanish Speaking preferred
• Experience as a hospital case management assistant, home health care coordinator, or transition navigator preferred
• Experience working with Senior patients preferred

Benefits

• Paid sabbatical for every five years of service
• Free One Medical memberships for yourself, your friends and family
• Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Pre-Tax commuter benefits
• PTO cash outs - Option to cash out up to 40 accrued hours per year
• 401K match
• Credit towards emergency childcare
• Company paid maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance