What are the responsibilities and job description for the Care Transition Specialist position at Care New England?
Job Summary
The Care Transition Specialist plays a pivotal role in supporting patients through transitions of care by facilitating timely follow-up with primary care providers and conducting non-licensed medication reconciliation. This hybrid position leverages the expertise of both Pharmacy Technicians and Medical Assistants to promote continuity of care, reduce hospital readmissions, and improve patient outcomes. The Specialist also identifies individuals who may benefit from additional support and coordinates referrals to case management services.
Duties And Responsibilities
Initiate outreach calls to patients recently discharged from hospitals, emergency departments, or urgent care facilities /settings
Confirm and schedule follow-up appointments with primary care providers.
Conduct non-licensed medication reviews by reconciling discharge medication lists with patient-reported regimens
Identify medication discrepancies, duplications, or adherence issues and escalate concerns to licensed providers or pharmacists
Assess patient needs during outreach and refer to appropriate case management programs when indicated
Reinforce understanding of discharge instructions, medication regimens, and the importance of follow-up care
Accurately document all patient interactions, assessments, and referrals in the electronic health record (EHR)
Collaborate with physicians, nurses, pharmacists, and case managers to ensure seamless care transitions
Participate in team meetings and quality improvement initiatives related to transitional care
Requirements
Minimum one to three years experience.
High School or GED Required.
Completion of an accredited Pharmacy Technician or Medical Assistant Program.
In a healthcare setting.
Experience in care coordinator, transitional care, or patient navigation preferred.
Familiarity with case management programs and referral protocols preferred.Bilingual preferred.
Active certification/registration as a Pharmacy Technician (CPhT) or Medical Assistant (CMA/RMA), in accordance with state regulations.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
The Care Transition Specialist plays a pivotal role in supporting patients through transitions of care by facilitating timely follow-up with primary care providers and conducting non-licensed medication reconciliation. This hybrid position leverages the expertise of both Pharmacy Technicians and Medical Assistants to promote continuity of care, reduce hospital readmissions, and improve patient outcomes. The Specialist also identifies individuals who may benefit from additional support and coordinates referrals to case management services.
Duties And Responsibilities
Initiate outreach calls to patients recently discharged from hospitals, emergency departments, or urgent care facilities /settings
Confirm and schedule follow-up appointments with primary care providers.
Conduct non-licensed medication reviews by reconciling discharge medication lists with patient-reported regimens
Identify medication discrepancies, duplications, or adherence issues and escalate concerns to licensed providers or pharmacists
Assess patient needs during outreach and refer to appropriate case management programs when indicated
Reinforce understanding of discharge instructions, medication regimens, and the importance of follow-up care
Accurately document all patient interactions, assessments, and referrals in the electronic health record (EHR)
Collaborate with physicians, nurses, pharmacists, and case managers to ensure seamless care transitions
Participate in team meetings and quality improvement initiatives related to transitional care
Requirements
Minimum one to three years experience.
High School or GED Required.
Completion of an accredited Pharmacy Technician or Medical Assistant Program.
In a healthcare setting.
Experience in care coordinator, transitional care, or patient navigation preferred.
Familiarity with case management programs and referral protocols preferred.Bilingual preferred.
Active certification/registration as a Pharmacy Technician (CPhT) or Medical Assistant (CMA/RMA), in accordance with state regulations.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.