Talent.com
Transition of Care Coordinator I
Transition of Care Coordinator IClinica Sierra Vista • Bakersfield, CA, US
Transition of Care Coordinator I

Transition of Care Coordinator I

Clinica Sierra Vista • Bakersfield, CA, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1.

Why work for us?

  • Competitive pay which matches your abilities and experience
  • Health coverage for you and your family
  • Generous number of vacation days per year
  • A robust wellness plan and health club discounts
  • Continuing education assistance to grow and further your talents
  • 403(B) plan with company matching

Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”

We're looking for someone to join our team as a Transition to Care Coordinator I who facilitates proactive care for their patients, utilizes internal and external technology to support transitional functions, and leverages new information technology tools to bridge care gaps across different health care settings. The position emphasis will be on care coordination, communication, and collaboration with CSV Care Teams to provide timely access and optimal patient outcomes within the appropriate level of care.

Essential Functions :

Key result area

Objectives / Activities

  • Patient Outreach
  • Conduct patient outreach and education via telephone, text, and patient portal discharge from ER / hospital
  • Mentorship and leadership
  • Functions as a primary preceptor / mentor / trainer to new and tenured transition of care coordinators or quality care coordinators helping cover transition of care
  • Coordination of outpatient services
  • Coordinate PCP assignment by applying Four-Cut Method
  • Connect patients to health services according to their clinical needs and organizational quality standards
  • Liaise between community and health / social services
  • Screen patients for SDOH (Social Determinants of health) and other relevant screening questions during outreach
  • Provide patients community resources as appropriate, or resources from their health plans
  • Support quality improvement initiatives
  • Participate in PDSA’s and quality improvement projects that align with CSV priorities as directed
  • Provide feedback to Supervisor-Care Coordination
  • Regulatory Compliance & Accreditation
  • Support data collection / validation for regulatory reporting, and update internal / external reporting sites as needed
  • Assist with Health plan audits under the supervision of the Supervisor-Care Coordination / Manager of Quality and Population Health
  • Miscellaneous
  • Other duties as assigned
  • You'll be successful with the following qualifications :

  • One of the following. Existing employees in this role prior to June 2025 will be grandfathered in.
  • Medical Assistant certification or program completion WITH a high school diploma or GED and 3-4 years of healthcare experience in a primary care setting

  • Bachelor’s degree. Exposure to healthcare preferred.
  • 3. Knowledge of or experience with HEDIS and UDS preferred

    4. Basic Life Support from American Heart Association

    5. Experience in healthcare within Behavioral Health or addiction medicine, highly preferred

    Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.

    Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and / or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

    [job_alerts.create_a_job]

    Transition Coordinator • Bakersfield, CA, US

    [internal_linking.similar_jobs]
    Travel Occupational Therapist (OT) - $2,327 to $2,399 per week in Bakersfield, CA

    Travel Occupational Therapist (OT) - $2,327 to $2,399 per week in Bakersfield, CA

    AlliedTravelCareers • Bakersfield, CA, US
    [job_card.full_time]
    AlliedTravelCareers is working with Pioneer Healthcare Services to find a qualified Occupational Therapist (OT) in Bakersfield, California, 93309!. If you want to make a significant impact as an.Ass...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Home care Community Outreach coordinator

    Home care Community Outreach coordinator

    Homewatch CareGivers of Bakersfield • Bakersfield, CA, US
    [job_card.full_time]
    Home Care Community Outreach Coordinator.This job is set to start immediately.Pay : Base Salary + Compensation.Homewatch CareGivers is seeking a. Community Outreach Coordinator at our Bakersfield loc...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Career Education & Community Engagement Coordinator

    Career Education & Community Engagement Coordinator

    California State University, Bakersfield • Bakersfield, California, USA
    [job_card.full_time] +1
    Student Services Professional III.This position is temporary and ends on or before June 30 2026.Any continuation beyond June 30 2026 is contingent upon satisfactory performance and available fundin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Inpatient Case Management Care Coordinator - $3,449 per week

    Travel Inpatient Case Management Care Coordinator - $3,449 per week

    IDR Healthcare • Bakersfield, CA, United States
    [job_card.full_time]
    IDR Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Bakersfield, California. Job Description & Requirements.IDR Healthcare is an awarding winning staff...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Family Medicine Residency Program Director - Bakersfield, CA

    Family Medicine Residency Program Director - Bakersfield, CA

    Adventist Health • Bakersfield, US
    [job_card.full_time]
    Adventist Health Bakersfield is seeking an experienced and visionary leader to serve as.Family Medicine Residency Program. This is a unique opportunity to shape the future of primary care by mentori...[show_more]
    [last_updated.last_updated_30] • [promoted]
    BEHAVIORAL HEALTH MA

    BEHAVIORAL HEALTH MA

    Integrated Practice Management LLC • Bakersfield, CA, US
    [job_card.full_time]
    Under the direction of the Lead Medical Assistant, and Director of Behavioral Health, the Behavioral Health Medical Assistant is responsible for all duties related to medical assisting including bu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Coordinator-Department Promotional-CAO-General Services

    Program Coordinator-Department Promotional-CAO-General Services

    Kern County • Bakersfield, California, USA
    [job_card.full_time] +1
    Department Promotional Examination.Kern County CAO-General Services.Oral Exam (Weight 100%) : Will be conducted for the purpose of appraising the applicants training education experience interest an...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Coordinator CREL

    Program Coordinator CREL

    Kern Community College District • Bakersfield, CA, United States
    [job_card.full_time]
    Kern Community College District.California Renewable Energy Laboratory.Under the direction of an assigned supervisor, coordinate the maintenance and implementation of an assigned program; assist st...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Supervisor, Care Court Outreach

    Program Supervisor, Care Court Outreach

    Bay Area Community Services (BACS) • Bakersfield, CA, US
    [job_card.full_time]
    The Program Supervisor will manage administrative, fiscal, and quality improvement functions that promote the highest element of service provision for the direct care staff and clients they work wi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel CT Tech - $2856.4 / Week

    Travel CT Tech - $2856.4 / Week

    FlexCare • Bakersfield, CA, US
    [job_card.full_time]
    FlexCare is seeking an experienced CT Tech for an exciting Travel Allied job in Bakersfield, CA.Shift : 4x10 hr nights Start Date : 01 / 05 / 2026 Duration : 13 weeks Pay : $2856.Stroke Certified Acute Car...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Coordinator

    Program Coordinator

    Kern Community College District • Bakersfield, CA, United States
    [job_card.full_time]
    Kern Community College District.Bakersfield College Panorama Campus, CA.This program will work with the Basic Needs program directly. Under the direction of an assigned supervisor, coordinate the...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Care Manager

    Care Manager

    Western Youth Services • Bakersfield, CA, US
    [job_card.full_time]
    Western Youth Services is a leading expert in children’s mental health and wellness solutions.As a hub of children’s mental health in Orange County, we’ve been providing services ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Cath Lab Tech - $3,598 per week in Bakersfield, CA

    Travel Cath Lab Tech - $3,598 per week in Bakersfield, CA

    AlliedTravelCareers • Bakersfield, CA, US
    [job_card.full_time]
    AlliedTravelCareers is working with Mindlance Health to find a qualified Cath Lab Tech in Bakersfield, California, 93301!. ID : 72489285 Shift : 10H Days 10s, EOW, first to float Description : Unit Not...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Care Coordinator

    Clinical Care Coordinator

    MASC Medical Recruitment Firm • Bakersfield, CA, US
    [job_card.full_time]
    The Clinical Care Coordinator – LTAC Transitions facilitates safe, timely, and well-coordinated transitions of patients from Long-Term Acute Care (LTAC) settings to lower—but medically appropriate—...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Occupational Therapist (OT) - $2,326 to $2,398 per week in Bakersfield, CA

    Travel Occupational Therapist (OT) - $2,326 to $2,398 per week in Bakersfield, CA

    AlliedTravelCareers • Bakersfield, CA, US
    [job_card.full_time]
    AlliedTravelCareers is working with Pioneer Healthcare Services to find a qualified Occupational Therapist (OT) in Bakersfield, California, 93308!. If you want to make a significant impact as an.Ass...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Career Education & Community Engagement Coordinator

    Career Education & Community Engagement Coordinator

    CSU Careers • Bakersfield, California, USA
    [job_card.full_time] +1
    Student Services Professional III.This position is temporary and ends on or before June 30 2026.Any continuation beyond June 30 2026 is contingent upon satisfactory performance and available fundin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Patient Access Coordinator I - North Fayette Health + Wellness Pavilion

    Patient Access Coordinator I - North Fayette Health + Wellness Pavilion

    Highmark Health • Bakersfield, CA, US
    [job_card.full_time]
    Job Title : Patient Access Representative.Sign-on bonus is for external hires only.Recipients must stay with AHN for minimum of 1 year. Rehires may not have worked with AHN within the previous 12 mon...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Coordinator CREL

    Program Coordinator CREL

    InsideHigherEd • Bakersfield, California, United States
    [job_card.full_time]
    Kern Community College District.California Renewable Energy Laboratory.Under the direction of an assigned supervisor, coordinate the maintenance and implementation of an assigned program; assist st...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]