Transitional Care Coordinator

Company: Oak Street Health 

Title: Transitional Care Coordinator

Location: Various 

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients' communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

For more information, visit www.oakstreethealth.com.

Role Description:

Oak Street Health takes a team-based approach to providing outstanding patient care. Transitional Care Coordinators are an integral part of the team. You will help track patients across hospital and post-acute settings and help them get connected back to primary care. You will efficiently juggle many tasks: outbound phone calls to facilities and patients, managing medical records, and scheduling post-discharge appointments. We also expect you to be highly flexible, covering additional responsibilities, as needed. This will be a remote work position.

Core Responsibilities:

• Manage inbound notifications related to transitional care events from payer, vendor, facility, and other sources

• Conduct outreach to inpatient and post-acute facilities to obtain information, such as admission & discharge dates and discharge plans

• Request and obtain medical records, routing documents to clinical staff for review, and uploading documents into electronic medical record platform

• Conduct outreach to patients to schedule and confirm post-discharge appointments within the electronic medical records platform

• Coordinate with care team, facility, payer, and community-based organizations to ensure patients' transitional care needs are met

• Other duties as assigned

What are we looking for?

• Strong computer skills, including basic knowledge of Microsoft Excel and electronic medical records

• Experience in customer service setting (specific experience in healthcare preferred but not required)

• Professional phone etiquette

• High level of integrity

• Proficient PC skills

• College degree preferred, high school diploma required

• Fluency in Spanish, Polish, Russian, or other languages spoken within the communities we serve (where necessary)

• US work authorization

• Someone who embodies being 'Oaky'

What does being 'Oaky' look like?

• Radiating positive energy

• Assuming good intentions

• Creating an unmatched patient experience

• Driving clinical excellence

• Taking ownership and delivering results

• Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

• Collaborative and energetic culture

• Fast-paced and innovative environment

• Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.