Transitional Care Coordinator, Praxis Health

Job Description

💼 Join Our Team as a Transitional Care Management (TCM) Coordinator!Location: Remote (Oregon residents only)Schedule: Full-time, Monday - Friday

Starting Pay: $30 - $37/hour, depending on experience 

Praxis Health is looking for a passionate Transitional Care Management (TCM) Coordinator to guide patients through seamless transitions from hospital stays or ER visits back to their primary care providers. You’ll be a vital connection in ensuring patients get the right care, at the right time, with the highest quality.

✨ Why Praxis Health?

• We’re Oregon’s largest independent healthcare network.
• We believe in treating patients like family.
• We offer incredible growth opportunities, innovative care approaches, and a supportive culture!

What You’ll Do:

• Act as a patient advocate, navigating their healthcare journey.
• Ensure timely follow-ups with Primary Care Providers (PCPs).
• Coordinate care between healthcare organizations, hospitals, and specialty providers.
• Work with the Quality team to achieve the best outcomes for patients.
• Support medication reconciliation and management.
• Identify and address barriers to effective patient care.

What You Bring:

• A heart for compassionate, patient-centered care.
• RN or LPN license (or qualifications to obtain one).
• Proven experience in transitional or coordinated care is a bonus.
• Exceptional communication and organizational skills.

✨ Perks & Benefits:

• Comprehensive Health Coverage: Medical, Dental, Vision with great discounts.
• 401(K) Plan: Employer match to build your future.
• Paid Time Off: Recharge and rejuvenate.
• Free Lab Testing: Save on diagnostics with in-house perks.

Ready to Make a Difference?Be part of a team that’s redefining how patients receive care. Take a quick peek into why we’re unique: Watch Our Video.

Apply Today and start your journey with Praxis Health!

Minimum Qualifications

Required Education

• High school diploma or GED.
• Licensed Practical Nurse (LPN) or Registered Nurse (RN) from an accredited institution, community college, or university.
• Basic Healthcare BLS certification.
• Solid understanding of medical terminology and managed care.

Required Experience

• Clinical Experience: At least 2 years of direct patient care in a clinical or hospital setting.
• Healthcare Background: Minimum 3 years in a healthcare, health plan, or related field.

Preferred Experience

• Proficiency in Motivational Interviewing techniques.
• Communicating effectively with patients over the phone.
• Strong computer skills, including Microsoft Office Suite (Word, Outlook, Teams, Excel).
• Expertise in chronic disease management, case management, utilization management, and adult acute care.
• Hands-on experience with Electronic Medical Records (EMR) systems.
• Familiarity with ICD and CPT coding.

Knowledge, Skills & Abilities

• Comprehensive understanding of organizational policies, regulations, and procedures to deliver excellent patient care.
• Proficiency with medical equipment and instruments, and awareness of safety hazards to ensure a safe work environment.
• A team-oriented mindset: self-disciplined, energetic, innovative, and passionate about achieving shared goals.
• Ability to maintain confidentiality in all aspects of patient care, adhering to state and federal regulations.
• Strong communication skills to confidently engage with community healthcare organizations and personnel.
• Ability to work independently within the scope of practice, demonstrating sound judgment and reliability.

About Us

Praxis Health is a family of medical groups providing high quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff.

The Praxis family approach is dynamically different than other healthcare companies in Oregon. We are not “big box” health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs.

We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting edge.

Come see how healthcare is done right!

General Physical Requirements

Physical Demands:

• Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, or sitting for extended periods of time.
• Stress can be triggered by multiple staff demands and deadlines.

Work Environment:

Home office.

Equal Opportunity Statement

EOE Disabled/Veteran

Praxis Health is an Equal Opportunity Employer and provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Salary : $30 - $37