Remote Care Transition Specialist

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Remote; USD 60,000 - 75,000; Full time

Job summary

Independence Blue Cross, LLC is actively seeking a Care Transition Specialist to support members moving from inpatient care to home or another setting. The role ensures continuity of care and reduces avoidable readmissions through proactive outreach and coordination of services.

You will educate on medication adherence, assist with follow-up scheduling, and connect members to community resources while aligning with plan benefits and documenting interactions per NCQA standards.

Qualifications

• Bachelor's degree in health sciences, psychology, social work, nursing, public health, or related field.
• 12 years of experience in healthcare or a member-facing role such as case management or outreach.
• Knowledge of managed care principles, discharge planning, and community resources.
• Strong communication and interpersonal skills.
• Ability to work independently and manage multiple priorities.

Responsibilities

• Member Outreach & Engagement: Contact members postdischarge to review instructions and elevate needs to clinical team.
• Care Coordination: Schedule followups and facilitate referrals to home health, DME, and community services.
• Monitoring & Documentation: Document outreach outcomes in care management systems and ensure NCQA compliance.

Skills

Strong communication

Interpersonal skills

Multitasking

Education

Bachelor's degree in health sciences or related field

Job description

Independence Blue Cross, LLC is actively seeking a Care Transition Specialist to support members moving from inpatient care to home or another setting. The role ensures continuity of care and reduces avoidable readmissions through proactive outreach and coordination of services.

You will educate on medication adherence, assist with follow-up scheduling, and connect members to community resources while aligning with plan benefits and documenting interactions per NCQA standards.