Transitions of Care Associate

Devoted HealthWaltham, MA
$23 - $27

About The Position

The Transitions of Care (TOC) Team supports members who are newly discharged from the hospital (and in some cases prior to discharge). You’ll serve as an advocate for these members, coordinating care and ensuring they have the necessary resources and support to achieve better health outcomes. As a TOC Associate your goal will be to support members in safely recovering at home and to prevent hospital readmissions. Our ideal TOC Associate is caring, compassionate, energetic, and genuinely enjoys connecting with people.

Requirements

  • An active and clear Medical Assistant Certification
  • 2-3 Years of Experience in healthcare, managed care, home health, and/or community health setting

Nice To Haves

  • Fully bilingual in English and Spanish

Responsibilities

  • Calling (inbound/outbound) patients to check in after discharge to see how they are doing, and that they have received the assistance they need.
  • Work with affiliated vendors to coordinate services and care for members, to include transportation, DME, meals, home health care and more as appropriate.
  • Assisting with scheduling of post discharge TOC APP, PCP, and Specialist visits.
  • Collaborate with patients, providers, and caregivers to ensure a positive outcome.
  • Working hand in hand with the other members of the TOC team to address patient needs towards team based goals. This may include interdisciplinary huddles.
  • Participating in and assisting with pilot programs.
  • Coordinating with medical providers and facilities to access necessary discharge records.
  • Following escalation processes to the clinical team to ensure patients get needed evaluation and care.

Benefits

  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
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