LifeLong Medical Care

  • Care Transitions Liaison

    Job Locations US-CA-Berkeley
    Posted Date 4 weeks ago(5/23/2018 6:00 PM)
    # of Openings
  • Overview

    Supporting Community Healthcare is a rewarding role and you can make a valuable contribution. LifeLong Medical Care is looking for a Care Transitions Liaison. This position works from our administrative office in Berkeley and reports to the Care Transitions Nurse Manager. 


    The Care Transitions Liaison is responsible for providing technical, administrative and clerical support to the Care Transitions Nurse Manager. Bilingual English/Spanish is a must. The CT Liaison main responsibilities include:

    • Act independently with oversight of the nurse to coordinate a transition plan for patients leaving the hospital. 
    • Use effective interpersonal skills in day to day work including registering new patients, making follow up appointments in the clinics and contacting hospital and nursing facility staff to coordinate care.
    • Excellent organization skills to efficiently and effectively coordinating movement through the continuum of care to ensure return to primary care in a safe and timely manner.  
    • Promote excellent communication with hospital case management teams, care providers, LifeLong clinic staff, patients, families and external care facilities.


    LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have 16 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. LifeLong Medical Care is an Equal Opportunity Employer.



    We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including nine paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.


    • Coordinates the integrated transition plan developed by the nurse. 
    • Effectively executes patient care needs including registering new patients, making follow-up appointments in the clinics and contacting hospital and nursing facility staff to coordinate care.
    • Effective oral/written skills in English and oral skills in Spanish.
    • Maintains detailed records of patient admissions, discharges and primary care follow up.
    • Responds to incoming calls quickly and professionally.
    • Utilizes multiple EHR systems and uploads patient medical records to chart.
    • Develops positive relationships with LifeLong clinic staff and providers through timely response to inquiries and requests for records.
    • Assists external partners to quickly and efficiently access care at LifeLong clinic sites.
    • Maintains accurate records for reporting to various funding and inspecting agencies.
    • Other duties as assigned by the Care Transitions Nurse Manager.


    • General knowledge of illnesses, current treatments and their physical and psychosocial sequelae.
    • Knowledge of alternate levels of care including criteria required for payment and applications processes.
    • Knowledge of applicable laws and regulations, government and insurance benefits, especially Medicare, Medi-Cal. Knowledge of available health care and community resources appropriate for populations served.
    • Knowledge of data collection techniques and methods of analyzing and reporting data
    • Excellent oral and written communication skills.
    • Excellent interpersonal skills and time management skills, ability to work effectively in a fast pace environment, with rapidly shifting priorities and competing demands.
    • Excellent organizational skills, excellent attention to detail and ability to provide timely follow up.
    • Excellent task prioritization skills.
    • Ability to work independently with a minimum of direction.  
    • Proficient to advanced PC skills, word processing, spreadsheets and data base programs

    Job Requirements          

    • Associates or Bachelor’s Degree in Business/Health-Related field or equivalent experience in a health care setting required.
    • Minimum of one year of experience in a community clinic or medical office setting. Community Health Center experience preferred.   
    • Working knowledge of medical terminology.
    • Experience in electronic medical records.
    • Knowledge of various health insurance plans preferred.
    • Proficient in Microsoft Office, specifically Excel and the internet.



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