Transitions Care Coordinator

About Us

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. The Opportunity: As One Medical for Seniors High Risk Programs continues to expand, we are seeking a Transitions Care Coordinator to join the newly formed Care Transitions Management program. Reporting to the Transitions Care Coordinator Manager, this person will support both patients and in office care teams by tracking and monitoring One Medical Senior Health patients discharged from Emergency Room (ER) visits/stays, acute, and post-acute stays, and communicating with the patient to ensure the appropriate follow-ups and prevention of readmission. The ideal candidate is a strong team player, detail-oriented, and engaging. You have mastered the art of customer-service, administrative work, and are passionate about Seniors’ health. You are comfortable with the ambiguity that comes with joining a new team, and are excited about the opportunity to collaborate on developing and optimizing workflows. What you'll likely work on:

• Assist the care coordination team, primary care offices, and patients with care coordination for ER visits/stays, acute and post-acute care facility admissions and discharges.
• Act as a liaison with care teams and outside medical providers where appropriate.
• Work collaboratively with hospitals, post-acute facilities, and home health organizations
• Monitor acute and post-acute care facility admissions, lengths of stay and clinical outcome and provide feedback as needed.
• Field incoming phone calls/messages from patients and their families and appropriately addressing those needs or provide hand off to other key team members in an appropriately urgent manner
• Coordinates discharge, follow up appointments, and nurse follow up calls as appropriate
• Initiating outbound administrative requests, by phone and in writing, such as medical record requests.
• Sorting and triaging of incoming faxes, including scanning and appropriate e-filing
• Engage in process building and development for a new team approach by listening, sharing input and ideas, and enacting decisions and plans.

These responsibilities are intended to describe the general nature and level of work being performed by personnel assigned to this job classification. They are not to be construed as an exhaustive list of job duties performed by personnel in this classification. Other job related duties may be assigned by management. What you’ll need:

• At least 1 year of patient facing experience in a healthcare setting required
• Experience as a hospital case management assistant, home health care coordinator, or transition navigator preferred
• Strong written and verbal communication skills; Spanish Speaking preferred
• A proven track record of persisting through change, demonstrating a forward thinking perspective when under pressure, and consistently stepping up to take action on challenges
• Experience working with Senior patients preferred
• Understanding of Mac iOS, Google suite.

This is a full time role (40 hours/week) with 8 hour shifts taking place between 8:00am-5:00pm EST, Monday - Friday, in addition to one Saturday per month required. This is a remote role in which you must be based in the Pacific or Mountain time zone. One Medical is committed to fair and equitable compensation practices: The base compensation range for this role is $23.50 to $25.50 per hour. However, actual compensation packages are based on several factors that are unique to each candidate. These factors include, but are not limited to, job related knowledge and skill set, depth of experience, certifications and/or degrees, and specific work location. The total compensation package for certain roles may also include additional components such as a sign-on bonus, annual performance bonus, equity grants in the form of RSUs, medical and other benefits and/or other applicable incentive compensation plans. For more information, please visit https://www.onemedical.com/careers/ One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today

• Paid sabbatical for every five years of service
• Free One Medical memberships for yourself, your friends and family
• Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Pre-Tax commuter benefits
• PTO cash outs - Option to cash out up to 40 accrued hours per year

Protecting your future for you and your family

• 401K match
• Credit towards emergency childcare
• Company paid maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance

In addition to the comprehensive benefits package outlined above, practicing clinicians also receive

• Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
• UpToDate Subscription - An evidence-based clinical research tool
• Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
• Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
• Discounted rate to attend One Medical’s Annual REAL primary care conference

One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information. Apply tot his job Apply To this Job