Transitional Care Specialist - Primary Care

At ConvenientMD, we’re on a mission to make good health more convenient for all – working to improve how patients and providers experience healthcare in New England. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another. 

The Opportunity  

Join our team as a Transitional Care Specialist and help patients navigate the critical period after a hospital or ER visit. In this role, you’ll support patients as they transition back to their Advanced Primary Care team, focusing on post-discharge outreach, care coordination, and reducing the risk of readmission. You’ll collaborate closely with providers, hospitals, and community resources to ensure patients get the right care, at the right time. This is a great role for someone who enjoys patient interaction, is highly organized, and wants to make a real impact in care coordination. 

Your Impact

• Monitor daily patient admission/discharge alerts and hospital systems for updates 


• Reach out to patients within two business days of discharge (2–3 call attempts) 


• Conduct telephonic assessments to identify patient needs, risks, and barriers to care 


• Review discharge instructions, assist with medication reconciliation, and schedule follow-ups with primary care 


• Coordinate with providers, home health agencies, and community organizations for needed services 


• Ensure care plans, referrals, and outreach activities are documented in the EMR 


• Address care gaps and contribute to improved health outcomes as part of a multi-disciplinary team 

Who You Are

• 3+ years of experience in a healthcare or medical office setting 


• 2+ years as an LPN experience  


• Familiarity with electronic health records and Microsoft Office 


• Strong organizational skills and ability to manage multiple priorities 


• A problem-solving mindset and desire to improve care for vulnerable populations 


• Flexibility and a proactive attitude in a dynamic environment 

Why ConvenientMD? 

• Collaborative team environment that encourages professional growth


• Urgent care services at no cost to our team members and their families


• Extensive benefit offerings including health, dental, and vision coverage, company paid short-term disability, and optional pet insurance


• 401k match after one year of service 


• Access to our primary care (depending on location)


• Educational Alliance with Purdue University Global and reduced tuition rates for team members and their families 


• Employer rewards and access to discounts offered on services and products such as hotels, travel, entertainment, restaurants, and more

There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants rarely meet every single job requirement, and we appreciate that many skills and backgrounds can make people successful in this role. We are committed to creating a strong sense of belonging for all team members, and our process is designed to prevent discrimination against applicants regardless of gender identity, sexual orientation, religion, ethnicity, age, disability status, or any other aspect which makes you unique. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you.