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Supervisor, Transitional Care Coordinator

Oak Street Health Chicago Full-time


Company: Oak Street Health

Title: Lead Transitional Care Coordinator

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

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Role Description

Oak Street Health takes a team-based approach to providing outstanding patient care. Transitional Care Coordinators (TCCs) are an integral part of the team who help track patients across hospital and post-acute settings and help them get connected back to primary care. The Lead Transitional Care Coordinator will provide day-to-day oversight and support to the TCC team. This includes but is not limited to: onboarding new TCCs, obtaining EMR access, assisting with workflow development, collaborating with Transitional Care RNs, Practice Managers and care teams, and ensuring the TCC team is exceeding expectations. We also expect you to be highly flexible, covering additional responsibilities, as needed. This will primarily be a remote work position.

Core Responsibilities
  • Serve as Transitional Care Coordinator team lead
  • Coach associates and recommend methods to improve performance
  • Support team in identifying, designing, and implementing process improvements
  • Track and report on operational processes and productivity
  • Track resource issues and recommends solutions
  • Manage inbound notifications related to transitional care events from payer, vendor, facility, and other sources
  • Conduct outreach to inpatient and post-acute facilities to obtain information such as admission & discharge dates and discharge plans
  • Request and obtain medical records, routing documents to clinical staff for review, and uploading documents into electronic medical record platform
  • Conduct outreach to patients to schedule and confirm post-discharge appointments within electronic medical records platform
  • Coordinate with care team, facility, payer, and community-based organizations to ensure patients’ transitional care needs are met
  • Other duties, as assigned
What are we looking for?
  • A flexible and positive attitude
  • A welcoming and nurturing attitude toward our patient population
  • Strong computer skills and basic knowledge of Microsoft Excel and electronic medical records
  • Experience in customer service setting (specific experience in healthcare preferred but not required)
  • Professional phone etiquette
  • High level of integrity
  • Proficient PC skills
  • College degree preferred, high school diploma required
  • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary)
  • US work authorization
  • Someone who embodies being “Oaky”
What does being “Oaky” look like?
  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being scrappy
Why Oak Street?

Oak Street Health Offers Our Coworkers The Opportunity To Be At The Forefront Of a Revolution In Healthcare, As Well As
  • Collaborative and energetic culture
  • Fast-paced and innovative environment
  • Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to

To apply for this job please visit

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