Position Summary:
UCM Digital Health has a terrific opportunity for a dynamic Clinical Transitions Coordinator
(CTC) to join our team at a rapidly growing telehealth company. The CTC is responsible
for ensuring that patients enrolled in UCM’s transition of care receive a highly coordinated,
patient-centered, high quality, and cost-efficient health outcome.
This position will involve on-site and remote management of patients, coordination with a
variety of providers, and serving as a key conduit of information and coordination among all
stakeholders for seamlessly integrated care. The CTC provides support to 1) the
patient/family/caregivers 2) the hospital care team 3) community-based clinical teams and the 4)
health plan by adhering to standardized workflows and data sharing that support appropriate care
planning.

Education:
● Current NYS unrestricted license or certification: RN or LPN, LMSW or LCSW, or
EMT-P
● College degree
Experience:
● Minimum two years’ experience in a hospital, primary care office or homecare setting
● Hospital Discharge planning/case management
● Hands-on experience as part of an interdisciplinary team (physicians, case managers,
nurses, etc.)
● Deep understanding of factors leading to high/over utilization of ER and inpatient
admissions such as complex medical and behavioral health care needs and social
determinants of health
● Proven track record in teamwork, collaboration and driving excellence in patient care

To learn more or apply please visit:

https://ucm-digital-health.breezy.hr/p/a8d12bd77537-clinical-transitions-coordinator