Care Continuum Partner

Lehigh Valley Health Network, Inc.; Bethlehem (Northampton County); On-site; USD 42,000 - 62,000; Full time

Job summary

Lehigh Valley Health Network, Inc. is seeking a Care Continuum Partner to join the Muhlenberg team in Bethlehem. This full-time Day Shift role partners with clinicians to coordinate appointments, referrals, and transitions of care for patients across the continuum.

You will support patient outreach, scheduling, and care plan execution, using the patient portal and other platforms to ensure a seamless experience in a busy physician practice.

Qualifications

• High School Diploma/GED required; emphasis on accuracy and confidentiality.
• 2 years experience interacting with patients in healthcare settings.
• 3 years experience in a complex health system or related field.

Responsibilities

• Collaborates with clinical care team to support pre-visit planning and patient flow.
• Coordinates complex appointments across continuum of care (procedures, visits, tests).
• Manages referrals, intake, scheduling, pre-certification, and follow-up communications.
• Serves as a patient concierge for regional or practice models and supports care plan compliance.
• Communicates with patients via telephone, portal, and other platforms; explains preparation for tests and visits.

Skills

Communication

Care coordination

Referral management

Patient advocacy

Education

Associate degree

Tools

EMR systems

Scheduling software

Job description

Full-TimeDay ShiftDepartmentLVPG-L General & Bariatric Surgery - MuhlenbergShift DetailsDay Shift, M-F: 0800-1630Job IDwd-JR140372PostedAugust 25, 2026Care Continuum PartnerJoin a team that delivers excellence.Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.Join our team and experience firsthand what it's like to be part of a healthcare organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.Imagine a career at one of the nation's most advanced health networks.Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.LVHN has been ranked among the \"Best Hospitals\" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.SummaryThe Care Continuum Partner serves as the main liaison between the patient, family, and clinical team for patients and their families across the continuum of their care. At every touch point with the patient, provides the full capabilities to partner with patient and families to coordinate, navigate and schedule all aspects of their care including outpatient, procedures, community and transition of care needs to deliver an optimal patient experience. Responsible for meeting patients where they are within our physical/virtual walls and responsible for advanced level partnerships with patients including scheduling of patients appointments, and addressing the full care needs and care compliance opportunities for patients both within and outside our walls.Job DutiesIn collaboration with clinical care team, participates and supports in pre-visit planning to ensure smooth operation and patient flow in busy physician practice. Provides support regarding referral management and intake, scheduling, pre-certification process, follow up calls and record retrieval for timely appointments.Coordinates and schedules complex appointments for patient across their continuum of care including procedures, office visits, diagnostic testing, and other ancillary services that require coordination of multiple resources. Included but not limited to: procedures, surgery, radiology and diagnostic imaging, diagnostic testing, labs, new patient coordination and therapeutic care plans. May serve as new patient concierge role in regional or practice models.Assesses patient and family needs and supports care plan compliance. Examples include new patient coordination and intake, conducting patient outreach to follow up on patient care and appointment needs. Conducts patient outreach to follow up on patient care and appointment needs. Communicates with patient in traditional and innovative platforms including telephone, patient portal and other virtual platform solutions where applicable.Facilitates communication amongst the physician/provider, clinical care team as well as financial, outpatient, ancillary and supportive services.Provides the patient with clear instructions on how to prepare for tests and procedures and explains what to expect upon arrival per established guidelines. Provides patient with robust care continuum plan and explanation of necessary care elements.Creates a warm and welcoming environment for patients, families and staff using exceptional customer service and compassionate care skills.Connects patient and families with resources and services from both within the organization in support of their continuum of care (e.g. financial counseling, transportation support, social work, counseling, nurse navigation, nutrition services, and support groups, etc.) based on social determinants of health. Supports the care team's process to assess patient's social determinants of health and other community and psychosocial needs.Create and maintain patient records, manages visit prior authorization and referral requirements.Serves as expert and liaison to patient and family on the patient portal and medical record technology. Functions as Virtual Care Concierge partner offering assistance and guidance when appropriate.Minimum QualificationsHigh School Diploma/GED commitment to advance education.2 years experience interacting with patients as part of this experience, performing at least some of these core functions and3 years experience working within a complex health system environment or related field.High degree of accuracy and attention to detail.Enhances skills through continuing education.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 handle patients and families in stressful situationsAbility to maintain strict confidentiality.Ability to adapt to changing priorities.Critical thinking skills and solutions-focused approach.Preferred QualificationsTechnical School Diploma orSpecialized Diploma orAssociate’s DegreeKnowledge and experience with electronic medical records and scheduling software.Knowledge of medical terminology.Physical DemandsLift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.https://youtu.be/GD67a9hIXUYLehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes..LocationMedical Offices at Muhlenburg Hospital2649 Schoenersville Rd, 18017-7326, Bethlehem, United States (Map)