Transitional Care Coordinator-Field Services

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Location: Various 

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

For more information, visit www.oakstreethealth.com.

Role Description:

Oak Street Health takes a team-based approach to providing outstanding patient care. Transitional Care Coordinators are an integral part of the team. You will help track patients across hospital and post-acute settings and help them get connected back to primary care. You will efficiently juggle many tasks: outbound phone calls to facilities and patients, managing medical records, and scheduling post-discharge appointments. We also expect you to be highly flexible, covering additional responsibilities, as needed. This will be a remote work position.

Core Responsibilities:

• Manage inbound notifications related to transitional care events from payer, vendor, facility, and other sources

• Conduct outreach to inpatient and post-acute facilities to obtain information, such as admission & discharge dates and discharge plans

• Request and obtain medical records, routing documents to clinical staff for review, and uploading documents into electronic medical record platform

• Conduct outreach to patients to schedule and confirm post-discharge appointments within the electronic medical records platform

• Coordinate with care team, facility, payer, and community-based organizations to ensure patients’ transitional care needs are met

• Other duties as assigned

What are we looking for?

• A flexible and positive attitude

• A welcoming and nurturing attitude toward our patient population of older adults

• Strong computer skills, including basic knowledge of Microsoft Excel and electronic medical records

• Experience in customer service setting (specific experience in healthcare preferred but not required)

• Professional phone etiquette

• High level of integrity

• Proficient PC skills

• College degree preferred, high school diploma required

• Fluency in Spanish, Polish, Russian, or other languages spoken within the communities we serve (where necessary)

• US work authorization

• Someone who embodies being “Oaky”

What does being “Oaky” look like?

• Radiating positive energy

• Assuming good intentions

• Creating an unmatched patient experience

• Driving clinical excellence

• Taking ownership and delivering results

• Being scrappy

 

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

• Collaborative and energetic culture

• Fast-paced and innovative environment

• Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/31/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.