Remote Transition of Care Specialist

Lehigh Valley Health Network, Inc.; Elm (PA); Remote; USD 42,000 - 56,000; Full time

Job summary

Lehigh Valley Health Network, Inc. seeks a dedicated healthcare professional to drive post-discharge outreach and care coordination. You will engage patients, connect with care management resources, and collaborate with interdisciplinary teams to close care gaps.

The role emphasizes evidence-based practice, timely follow-up, and maintaining strong patient relationships across virtual and in-person settings in a remote Pennsylvania environment.

Qualifications

• High School Diploma or GED with healthcare experience.
• Specialized Diploma Medical Assistant.
• 3 years experience in a complex health system environment.
• Proficient in Microsoft Office applications.
• Analytical thinking and multitasking ability.
• Superior customer service and confidentiality.
• Knowledge of medical terminology and EMR scheduling software.

Responsibilities

• Leads setup and management of post-discharge and care gap reports.
• Collaborates with payer groups and leadership on patient engagement strategies.
• Works with nursing to address barriers to care coordination and scheduling.
• Coordinates patient engagement guidelines with leads for CM services post-discharge.
• Creates and maintains quality data and spreadsheets for reporting.
• Responds to client inquiries to maintain trust and engagement.
• Assists with development and updates of patient engagement processes.

Skills

Microsoft Office

Analytical thinking

Effective communication

Confidentiality

Multitasking

Customer service

Medical terminology

Education

High School Diploma/GED

Specialized Diploma Medical Assistant

3 years experience in health system

Tools

EMR/EHR systems

Scheduling software

Microsoft Excel

Job description

Lehigh Valley Health Network, Inc. seeks a dedicated healthcare professional to drive post-discharge outreach and care coordination. You will engage patients, connect with care management resources, and collaborate with interdisciplinary teams to close care gaps.

The role emphasizes evidence-based practice, timely follow-up, and maintaining strong patient relationships across virtual and in-person settings in a remote Pennsylvania environment.