Department/Unit:
Care Management/Social Work


Work Shift:
Day (United States of America)


Salary Range:
$94,957.00 - $147,183.00


Under the guidance of the Case Management Manager and the Transitional Care Clinic Medical Director, The Transitional Care Case Manager ( TCCM) facilitates and coordinates appropriate referrals to the TCC. The TCCM assists with managing the referral process, data collection and ongoing coordination of patient care in the clinic. The TCCM further coordinates post-discharge contacts with indicated patients outside the clinic structure for readmission avoidance. The TCCM works with both internal and external stakeholders to achieve positive outcomes for assigned patients.


Essential Duties and Responsibilities

+ Collaborate with internal providers, CM/SW teams and nursing to review TCC referrals. Evaluate patients eligibility against TCC accepting criteria

+ Act as a liaison betw...