Care Transition Specialist - Philadelphia, Pennsylvania
1 day ago
Job description
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Summary
The Care Transition Specialist is responsible for supporting members as they transition from inpatient care to home or another care setting. This role ensures continuity of care, reduces avoidable readmissions, and promotes positive health outcomes through proactive outreach, education, and coordination of services.
Responsibilities
- Member Outreach & Engagement
- Contact members post-discharge to review discharge instructions, identify current needs, and escalate immediate needs to clinical team.
- Educate members on medication adherence, symptom monitoring, and follow-up appointments.
- Identify social determinants of health barriers and connect members to appropriate resources.
- Assists members with understanding their plan benefits and connects to member services.
- Care Coordination
- Assist with scheduling follow-up visits with network providers and specialists.
- Facilitate referrals to home health, durable medical equipment, and community-based services as needed.
- Collaborates with interdisciplinary team (nurse health coach and/or social workers) for consultation and referrals.
- Monitoring & Documentation
- Documents member outreach outcomes and barriers to care using health plan care management systems within scope of role.
- Document all interactions in compliance with organizational, regulatory, and NCQA standards.
- Monitor high-risk members and escalate concerns to clinical case managers as needed.
Requirements
- Bachelor's degree in health sciences, psychology, social work, or related field, nursing, public Health, or related field required.
- 1–2 years of experience in relevant work experience (healthcare, member-facing role such as case management and member outreach).
- Knowledge of managed care principles, discharge planning, and community resources.
- Strong communication and interpersonal skills.
- Excellent written and verbal communication skills.
- Ability to work independently and manage multiple priorities.
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
Similar jobs
We are seeking a Transit Operations Specialist in our Philadelphia office to support planning, analysis, and operational readiness efforts for rail and bus transit systems across the country. · Support transit operations planning, service analysis, and system performance evaluati ...
1 week ago
This is an excellent opportunity for an early-career engineer or transportation planner who is passionate about transit operations and interested in developing hands-on experience in service planning, operational modeling, financial analysis, and rail system performance. · ...
1 week ago
The Care Transition Specialist is responsible for supporting members as they transition from inpatient care to home or another care setting. · Contact members post-discharge to review discharge instructions, identify current needs, · Educate members on medication adherence, sympt ...
2 days ago
+The Care Transition Specialist supports members as they transition from inpatient care to home or another care setting. · Contact members post-discharge to review discharge instructions... · ...
2 days ago
We are seeking a Transit Operations Specialist in our Philadelphia office to support planning, analysis, and operational readiness efforts for rail and bus transit systems across the country. · Bachelor's degree in Engineering, Transportation Planning or a related field0–3 years ...
1 week ago
Youth in Transition Outcome Specialist job is available in Philadelphia. · ...
1 week ago
The Client Transition and Restructure Specialist will report to the Institutional Transition and Restructure Manager and is responsible for project management related to new Institutional client transitions and existing Institutional client account restructures. · The specialist ...
1 month ago
The Client Transition and Restructure Specialist will report to the Institutional Transition and Restructure Manager and is responsible for project management related to new Institutional client transitions and existing Institutional client account restructures. · ...
1 month ago
The Client Transition and Restructure Specialist will report to the Institutional Transition and Restructure Manager and is responsible for project management related to new Institutional client transitions and existing Institutional client account restructures. · Participate in ...
1 month ago
This role involves providing risk input on a first line of responsibility and owning assigned vendor programs. The successful candidate will be responsible for meeting quality standards, proactively providing vision regarding GBU(s) and assigned (global) vendor programs leveragin ...
1 month ago
We are looking for an Industry Risk Specialist to join our team in Wayne, PA. As an Industry Risk Specialist you will be responsible for risk input on a first line of responsibility and own assigned vendor programs including completing annual- and interim reviews. · You will be a ...
1 month ago
We are looking for an Industry Risk Specialist to join our team. · Responsible for meeting the quality standards · Proactively provide vision regarding GBU(s) and assigned (global) vendor programs leveraging market and industry expertise. · ...
1 month ago
This is a consulting engagement hours/week) for approximately two months, with potential to transition to full-time. · ...
1 month ago
Newborn Care Specialists provide non-medical support to new parents and their families during the postpartum period. · Training: Completion of a postpartum doula training program and certification. · Experience: At least 2 years of experience in newborn care or a related field. · ...
1 month ago
STV is seeking a Digital Delivery Specialist to support transportation infrastructure projects within our Digital Advisory practice. This role is preferably based in one of STV's California offices; however candidates located in other STV office locations will also be considered. ...
3 weeks ago
Inglis enables people with disabilities – and those who care for them – to achieve their goals and live life to the fullest. · The Employment Specialist works directly with people with diverse disabilities to assist in assessing strength, abilities and identifying skills. They pr ...
1 month ago
PHMC is proud to be a leader in public health. · SUBSIDIARY: Turning Points for Children · PROGRAM: LifeSet · JOB OVERVIEW: · The LifeSet Specialist is responsible for providing services to address the needs of young people 17-21 who have transitioned out of care and need individ ...
1 day ago
Join a dynamic Quality Team dedicated to enhancing Customer Care performance. · As a Training Specialist, you'll play a pivotal role in bridging the gap between classroom instruction and effective on-the-job execution. · Analyze call evaluations and rejected work to identify perf ...
1 month ago
The LifeSet Specialist is responsible for providing services to young people who have transitioned out of care. · Provide individual services to 8-10 young adults in the home and community setting. · Cases management collaboration with external key stakeholders like probation chi ...
3 weeks ago
Lead our Pennsylvania/New York/New Jersey transit practice and develop business strategy for sales increase with existing clients and developing new clients across the greater Philadelphia and New York City region. · ...
1 month ago