**Job Summary**

We are seeking a compassionate and organized Transition of Care Clinical Support team member to support patients as they move from hospital to home. In this role, you will conduct post-discharge phone interviews to assess patient needs, identify potential barriers to recovery, and help schedule timely follow-up appointments to reduce hospital readmissions. Ideal candidates are patient-focused, detail-oriented, and comfortable with phone-based patient interactions in a fast-paced healthcare environment. Must have a clinical background, RN, LPN, CMA etc.

**Essential Functions**

+ Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements.
+ Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures.
+ Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on qual...