Care Transition Specialist (PA/NJ/DE)

Supporting members transitioning from inpatient care to home or other settings, the full-time Care Transition Specialist (PA/NJ/DE) will engage in proactive outreach, education, and coordination of services to ensure continuity of care and promote positive health outcomes in a fully remote role. Key responsibilities Contact members post-discharge to review instructions, identify needs, and escalate issues to the clinical team Assist with scheduling follow-up visits and facilitate referrals to necessary services and resources Document member interactions and monitor high-risk members, escalating concerns to clinical case managers as needed Required qualifications Bachelor's degree in health sciences, psychology, social work, nursing, public health, or a related field 1-2 years of experience in healthcare or member-facing roles, particularly in case management and outreach Knowledge of managed care principles, discharge planning, and community resources Medical Assistant certificate preferred Ability to work independently and manage multiple priorities