Discharge & Care Transitions Navigator

Midwest Physicians Administrative Services, LLC dba Duly Health and Care; Highland Oaks (GA); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Mental health benefit

Life and disability insurance

Tuition reimbursement

401(k) match

Volunteer time off

Parental leave

Job summary

Midwest Physicians Administrative Services, LLC dba Duly Health and Care is seeking a Case Management Coordinator to provide on-site support for safe and efficient transitions from hospital to next care level. You will handle patient scheduling, outreach, data tracking, and documentation to support transition-of-care workflows.

You will coordinate with hospitalists, educate patients about discharge follow-up, and maintain logs and metrics to improve care transitions.

Qualifications

• High school diploma or GED required.
• Minimum of one year of medical office or hospital experience.
• Knowledge of medical terminology and healthcare office operations.

Responsibilities

• Provides on-site support to patients and hospitalists to facilitate transitions from the hospital to the appropriate next level of care.
• Educates patients on the importance of discharge follow up and ensures they receive necessary information for their appointment.
• Coordinates communication between hospitalists, patients, and relevant service providers to support smooth care transitions.
• Maintains accurate logs and documentation related to patient scheduling, outreach activities, follow-up status, and transition-of-care metrics.
• Tracks and reports key transition-of-care indicators in alignment with departmental guidelines.
• Escalates patient scheduling barriers or concerns to supervisors in a timely manner.
• Prepares, organizes, and maintains handouts, forms, and materials necessary for discharge and follow-up workflows.
• Supports hospitalist workflow by ensuring timely responses to messages, updates to logs, shared documents, and tracking tools.
• Performs administrative duties including faxing, document preparation and record maintenance and data entry related to patient transitions.

Skills

Medical terminology

Healthcare office operations

Customer service

Communication

Decision making

Problem solving

Teamwork

Change management

Workflow improvement

Computer systems

Independence

Professionalism

Accountability

Reliability

Education

High school diploma or GED

Medical terminology courses

Job description

Midwest Physicians Administrative Services, LLC dba Duly Health and Care is seeking a Case Management Coordinator to provide on-site support for safe and efficient transitions from hospital to next care level. You will handle patient scheduling, outreach, data tracking, and documentation to support transition-of-care workflows.

You will coordinate with hospitalists, educate patients about discharge follow-up, and maintain logs and metrics to improve care transitions.