About Our Company
We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.
Job Description
Shift Schedule: 4 10s Friday, Saturday, Sunday and Monday
At VillageMD,we'relooking for a Care Transitions Liaison to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare,we'vepartnered with many of today's best primary care physicians.We'reequipping themwith the latest digital tools. Empowering them with proven strategies and support. Inspiring them with betterpracticesand consistent results.
We'recreating carethat'smore accessible. Effective. Efficient. With solutions that are value-based, physician-drivenand patient-centered. Toaccomplishthis,we'relooking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.
As an extension of the primary care physician’s (PCP) care team, Care Transitions Liaisons partner with a diverse population of patients, primarily meeting with patients in one or more settings such as, in a clinic, home, facility, or other community settings. Face-to-face engagement with patients ensures our patients havean optimalcare experience andmaintainconnection to their primary care provider. Care Transitions Liaisons collaborate with PCPs, hospitalists, multidisciplinary Care Management team members and community agencies/services with the overall goal of improving health outcomes and reducing avoidableutilizationfor complex and high-risk patients. Care Transitions Liaisons provide wholistic assessments including the physical, mental, social, and spiritual needs of patients with complex medical conditions. Through shared decision making, Care Transitions Liaisons develop patient-centered care plans with both episodic and longitudinal interventions. These collaborative relationshipsassistin mitigating barriers to health,decreaseunnecessary healthcare spend/cost, andreducefutureutilizationevents.
How you can make a difference
Collaborate with inpatient care team, hospitalist/SNFistto ensure patient is receiving well- coordinated care and potential risk factors are mitigated prior to discharge, reducing the risk of readmission
Monitor patients as they transition from facilities to home, completing post-discharge follow up, medication reconciliation, reducingpatients'overall risk of readmission
Leveraging a deep understanding of chronic disease pathophysiology and coincident symptoms/comorbidities, coach patients & caregivers on health conditions, self-management techniques and develop escalation plansin the event ofa decompensation
Ability to engage diverse populations (age, ethnic groups, socio-economic levels, etc.) and provide culturally sensitive coaching, education andassistanceto members and their families/caregivers
Experience to drive change
This isa weekend position – must be available to work four, ten-hour shifts on the weekends (Friday, Saturday, Sunday, Monday)
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.
