Transition of Care Associate

Job not on LinkedIn

🔥 6 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏱ Part Time

🟡 Mid-level

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👻 Ghost score 10%

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Lehigh Valley Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• Conduct post-discharge transition-of-care outreach, including telephonic outreach and potentially in-person home visits • Link patients to care-management resources and coordinate care with interdisciplinary teams • Foster engagement with new and current patients • Ensure closure of care gaps and preventive health outcomes using evidence-based practices • Set up and manage post-discharge and care-gap reports • Update tracking systems through documentation • Collaborate with commercial payer groups, individuals, leadership, nursing teams, ambulatory practices, and inpatient colleagues • Discuss patient-engagement tactics and barriers to care coordination • Coordinate post-discharge appointment scheduling and care-gap closure • Organize patient-care activities and information sharing among treatment participants • Coordinate referral for ongoing care-management services after discharge • Create and maintain quality data and spreadsheets for reporting and presentations • Respond to client inquiries about processes or technical matters • Develop and maintain patient-engagement processes and updates

🎯 Requirements

• High School Diploma/GED with required years of healthcare experience, or Specialized Diploma in Medical Assistant or related field • 3 years experience working within a complex health system environment, or less than 1 year experience with Specialized Diploma • Proficient in Microsoft Office applications • Analytical thinking • Ability to handle numerous tasks at the same time • Superior customer service skills • Working knowledge of basic computer functionality • Effective and professional written and verbal communication • Ability to maintain strict confidentiality • Ability to adapt to changing priorities • Critical thinking skills and solution-focused approach • Knowledge of medical terminology • Knowledge and experience with electronic medical records and scheduling software • Preferred: 5 years experience working within a complex health system environment • Preferred: Bilingual • Preferred: one of the listed LPN or medical assistant certifications upon hire • Ability to lift and carry 25 lbs.; frequent sitting/standing and keyboard use; patient-care activities may include kneeling, bending, squatting, and CPR

🏖️ Benefits

• Equal opportunity employment • Day shift • Monday-Friday schedule with weekend rotation; variable shifts and hours