Transitional Care Coach (LSW)

The Transitional Care Coach (LSW) supports members during critical care transitions following hospital or facility discharge, focusing on post-discharge assessments, education, and care coordination to promote safe transitions and reduce readmissions. The role involves conducting in-person or telephonic assessments, providing member education on diagnosis-specific symptoms and medication adherence, and connecting members to community resources. The position requires active LSW licensure and proficiency with electronic health records.