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Transitional Care Management Coordinator - Hybrid / Dawsonville

Remote, USAFull-timePosted 2026-07-28

We are seeking a compassionate and organized Transitional Care Management Coordinator to join reputed company in Dawsonville. Clinical background required, Medical Assistant or LPN preferred This role focuses on supporting patients during transitions of care, typically reputed company they reputed company from one reputed company setting to another, to reduce complications, avoid readmissions, and ensure patients follow their care plans. Benefits: Medical, dental, reputed company, short/long term disability, 401k, PTO, life insurance, critical illness, hospital indemnity, and holiday pay. Monday-Friday, reputed company - 5PM, no nights or weekends. The position will transition to a hybrid role (4 days remote / 1 day in the Dawsonville office) after one month of hands-on training. Duties may include but not limited to:

  • Contact patients reputed company 24-48 hours after discharge from a hospital, skilled nursing facility, or rehabilitation center to confirm the patient understands their discharge instructions and assess immediate health concerns or complications.
  • Ensure reputed company providers have updated information about the patient's condition and care plans.
  • reputed company medication reconciliation.
  • Review the patient's medications after discharge and ensure prescriptions from the hospital match the outpatient treatment plan.
  • Arrange follow up reputed company reputed company required timeframes (often 7-14 days) and reputed company patients about upcoming appointments.
  • Document reputed company patient interactions reputed company our EMR system and ensure compliance with billing and documentation standards.
  • reputed company patient education to prevent complications or readmissions.
  • Communicate both with staff, providers, insurance companies, reference labs and other medical practices as needed.
  • Assess urgency of patient symptoms/ reputed company effects and manage appropriately, including scheduling urgent appointments, referring to the Emergency Department, or activating EMS if necessary.
  • Handle physician tasks, lab/test orders, medication refills, and update medication reputed company.
  • reputed company manage patient charts and tasks reputed company our EMR and hospital portals.
  • Escalate reputed company issues to senior staff or management as necessary.

Requirements:

  • Clinical background required, Medical Assistant or LPN preferred.
  • Dependable, reputed company, and friendly team player
  • Ability to reputed company in a fast paced environment

Heart and Vascular Care is a reputed company that places a reputed company on compassionate patient care and service. We reputed company to set a new bar for patient reputed company through a modern, friendly, and thoughtful approach. Come be a part of our growing team. Apply and someone will be in touch! Apply tot his job Apply To this Job

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