{"id":2409116,"url":"https://alion.io/job/wellbe-transitional-care-coordinator","title":"Transitional Care Coordinator","company":{"id":4422747,"name":"WellBe","domain":"wellbe.com","url":"https://alion.io/company/wellbe-2","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"iCIMS","truth_index":null},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Cincinnati, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":35000,"max_usd":62000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":3204},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-13T01:44:39Z","employer_posted_date":"2026-10-13","last_verified_at":"2026-10-14T17:44:18Z","board_verified":true,"closed_at":null,"days_open":1,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":1},"description":"Job Summary\nWhy WellBe? WellBe’s Culture is Welcoming\nBe part of something important:\nBe part of pioneering a new way of healthcare that is revolutionizing the industry. \nA patient-focused environment that ensures patients can live a fulfilling life whatever their health level is. Our focus is to give our patients more good days.\nGive yourself incredible opportunities:\nGrowth and development opportunities across expanding markets in the company and celebrate success on a global scale.\nTraining in the WellBe model and team-based care. Full in-person orientation, vision, mission, and values introduction, and instilling cultural ideals. Respect and trust for how you work and how you make a difference.\nWork as part of a collaborative team with a dedicated team culture.\nYou own your role, contribute to the team, and feel the enormous impact on lives.\nLeadership that listens, trusts, empowers, and supports.\nEmpowerment and ownership for solving problems that arise and doing the right thing in each interaction.\nPioneering a new way of healthcare that is revolutionizing the industry. \nWhat we offer:\nRich and competitive total rewards package including health benefits, dental, vision, life insurance, dependent care reimbursement, STD/LTD, 401k match with immediate vesting, paid time off / floating holidays, commuter/transportation (mileage) reimbursement, and educational reimbursement.\nThe opportunity to join a progressive company, who is making a difference each day with every patient. \nJob Description\nAbout the Position:\nThis office based, telephonic position is primarily responsible for managing the daily hospital census of engaged patients and coordinating the care of engaged members who are currently hospitalized or in other post-acute facilities and scheduling post discharge transition of care (TOC) appointments with their WellBe practitioners. The TCC promotes and develops relationships with key personnel in hospitals and Skilled Nursing facilities (SNF’s). This candidate will work collaboratively with those key personnel including WellBe TCLs (transitional care liaisons) to arrange and schedule transition of care visits post discharge and help illustrate to patients the importance of TOC adherence post discharge. The position will help educate patients about WellBe's program, close gaps in communication between patients and care management and nursing staff and coordinate smooth transitions post-discharge. The TCC will also be key support for the WellBe clinical team in coordination of care, providing updates from hospital or facility personnel and uploading pertinent discharge summaries for WellBe clinical team to review prior to TOC appointments.\nJob Description\nPractices the WellBe mission.\nTo help our patients lead healthier, meaningful lives by delivering the most Complete Care. \nStrong verbal and written communication ability\nData Management\nManage daily hospital census of engaged members.\nReview all new alerts and update POS, Dispo, discharge date, ensuring EMR has the most correct/updated information.\nEscalate examples/concerns of data discrepancies to the data team for continuous improvement efforts.\nAdmissions Tracking\nCommunicate with hospital/discharge planners, notify the patient of WellBe's awareness of their hospitalization, and continuously track hospital/facility admissions. \nIdentify barriers to discharge and care coordination needs by verifying information through HIE/hospital EMR and direct contact.\nMedical Record Retrieval and Uploading Support\nRetrieve and upload medical records for all admission types (ED, OBS, IP, Inpatient rehabs or SNFs) as support for HIM teams unable to retrieve records electronically.\nAbility to effectively communicate with older adults, including understanding their unique communication needs.\nEngages in telephonic conversations with engaged patients and their families, providing a thorough explanation of the WellBe program transitional care visits and comprehensive care model, aiming to obtain their consent to schedule a post discharge TOC appt.\nCommunicates with key facility personnel to collaborate in discharge planning of post facility discharge TOC visits for patients with their WellBe care team.\n Post-Discharge Tracking and Scheduling\nStructured and scripted phone call attempts post facility discharge to engaged members. Inquire and document patient’s response to general health status, medications, discharge instructions, SDOH (Social Determinants of Health) screening, and scheduling of next visits. \nUses EHR system to manage patient data, makes updates based on communication from hospital and SNF partners, and communicates relevant information to WellBe clinical care team.\nSchedules Transition of Care visits (TOCs) per protocol once pt discharged from facility.\nDischarges to SNF (Skilled Nursing Facility)\nAdmission verification to SNF, obtain estimated LOS, and working collaboratively with SNF/discharge planners and WellBe TCL’s who may enter those SNF’s.\nCoordination with APPs and CMDs\nEscalate patient concerns, including barriers to discharge or post-discharge needs, to the APP (Advanced Practice Provider) or CMD (Care Management Director).\nRegularly huddle with Transitional Care Liaisons (TCL) and coordinate on high-priority facilities and patients\nMay participates in weekly Interdisciplinary Team (IDT) meetings.\nOther duties as required by the manager to accomplish team’s objectives/goals.\nJob Requirements\nEducational/ Experience Requirements:\nHigh school graduate or GED \nMinimum 2 years of experience in acute care or post-acute care setting preferred\nPreferred experience working with case management, discharge planning, referral coordinator, or admissions coordinator.\nHealth unit secretary or Health unit coordinator may also apply.\nManaged Care experience helpful\nRequired Skills and Abilities:\nStrong attention to detail.\nCandidates should have a meticulous approach to their work, ensuring accuracy and precision in tasks such as data entry, record keeping, and following established protocols.\nProficient in Computer applications and electronic documentation\nComfortable using EMRs and other software platforms allows for efficient and accurate documentation of patient information, treatment plans, and medical histories.\nExcellent customer centric focus/service skills\nThe candidate should possess exceptional customer service skills with a focus on the patient experience. They should be empathetic, compassionate, and able to effectively communicate with patients and their families.\nElevated level of professionalism \nAdhering to ethical standards, maintaining patient confidentiality, and demonstrating integrity in their interactions with colleagues, patients, and their families.\nTravel requirements: Travel may be required up 0% locally.\nWork Conditions:\nAbility to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods. Fine motor skills/Visual acuity\nWellBe Senior Medical is an equal opportunity employer. We embrace diversity, inclusion, and equity and encourage all interested readers to apply at wellbeseniormedical.com/careers.\nThe preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change, or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.","description_format":"text","description_chars":7639,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity","Life insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Financial Services","Health Care","Professional Services"],"lifecycle":[{"event":"open","at":"2026-10-13T01:44:39Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":1,"expected_fill_days":17,"reasons":["conf:0","win:early","comp:junior"],"computed_at":"2026-10-14T06:34:16Z"},"pay":null,"html_url":"https://alion.io/job/wellbe-transitional-care-coordinator","json_url":"https://alion.io/job/wellbe-transitional-care-coordinator.json","meta":{"generated_at":"2026-10-14T18:45:06Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":24319,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4422747},"rest":"https://alion.io/mcp/rest/get_company?id=4422747"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fwellbe-transitional-care-coordinator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fwellbe-transitional-care-coordinator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fwellbe-transitional-care-coordinator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/wellbe-transitional-care-coordinator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fwellbe-transitional-care-coordinator"}]}