Transitions of Care Coordinator

Devoted Health

. Support TOC Clinical Operations with post-discharge planning and follow-up .

Posted 10/13/2026full-timeRemote • United StatesJuniorMid-Level💰 $23 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient outreach, care coordination, and telemedicine support, with a strong focus on communication and organizational skills to manage post-discharge planning effectively.

Highest-signal resume keywords

Patient Facing ExperienceCare CoordinationTelemedicine Environment ExperienceMA CertificationManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Post-Discharge PlanningClinical Documentation ManagementHome Care OrdersDME OrdersLab Testing CoordinationImaging TrackingElectronic Health RecordsTechnology Assistance for Telehealth

Soft Skills

Strong Communication SkillsInterpersonal SkillsOrganizational SkillsAdaptability

Tools & Technologies

Google ChromeGoogle Sheets

Certifications & Qualifications

MA Certification

Industry Keywords

HealthcareManaged CareHome HealthCommunity HealthTelehealth

About the role

Key responsibilities & impact

Support TOC Clinical Operations with post-discharge planning and follow-up
Conduct patient outreach while patients are inpatient and after discharge
Introduce the TOC program and communicate post-discharge follow-up from TOC clinicians
Schedule primary care and specialty follow-ups
Contact hospitals and provider offices to obtain clinical documentation
Submit Home Care and DME orders and follow up with vendors
Monitor the return fax queue and research provider profiles for updated contact and fax information
Provide operational support to the assigned team and manager
Prepare patients for telehealth visits by assisting with technology
Collaborate in clinical rounds to discuss patients at risk for readmission
Coordinate lab testing and imaging and track results for clinician review
Direct clinical concerns to appropriately licensed team members; the role excludes clinical decision-making and activities requiring licensure

Requirements

What you’ll need

2+ years of patient facing and care coordination experience within healthcare, managed care, home health, and/or community health setting
Experience working in a telemedicine environment
Managed Care / Health Plan experience (desired)
MA Certification (desired); expired MA certifications are accepted
If no certification, significant MA experience/background may be accepted, with MA school diploma and transcripts potentially requested
Ability to work Monday–Friday during one of the available ET schedules: 9a–5:30p, 9:30a–6p, 10a–6:30p, or 10:30a–7p
Strong communication and interaction skills with doctors, pharmacies, nurses, and caregivers
Comfortable working with patients via video, phone, and portal
Ability to learn electronic health records and computer platforms including Google Chrome and Google Sheets
Highly organized and adaptable; able to manage a large member panel amid frequent changes

Benefits

Comp & perks

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above
Parental leave program
401K program