CMA Transitional Care Coordinator (Prince Georges County, MD)

The role

The CMA Transitional Care Coordinator will manage transitional care and patient monitoring within partnered long-term care facilities. This role involves coordinating care, communicating changes in patient condition, and collaborating with clinical teams and facility staff.

What you will do

• Coordinate care for patients in skilled nursing and rehabilitation facilities using EMR
• Facilitate transitional care management for patients discharged from the hospital
• Monitor patients and communicate changes in condition to providers
• Collaborate daily with providers and facility staff to ensure care plans are current
• Maintain a consistent daily on-site presence in assigned facilities
• Conduct routine and urgent vital sign collection
• Serve as a liaison between providers, facility staff, residents, and families
• Convert two eligible patients per day to the Housecalls program
• Document patient interactions and assessments in the EMR
• Support onboarding and training of new Transitional Care Coordinators

Required qualifications

• Legally authorized to work in the United States of America
• Active, unrestricted CMA license in the state of Maryland
• Minimum 1 year of patient-facing experience in a long-term care, skilled nursing or transitional care setting
• Comfortable communicating proactively in person, by phone, via email, and through Microsoft Teams
• Solid working knowledge of healthcare terminology and care coordination principles
• Strong clinical assessment skills
• Experience with EMR systems and clinical documentation
• Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams
• Excellent communication and interpersonal skills
• Capacity to work independently while collaborating with multidisciplinary teams
• Valid, unencumbered driver's license
• Reliable personally-owned vehicle

Nice to have

• Point Click Care experience

Benefits

• Medical, Dental, Vision
• Life Insurance
• Short Term and Long Term Disability
• Flexible Spending Accounts for Medical and Dependent Care
• Accident, Critical Illness, and Hospital Indemnity
• Paid Time Off
• Seven company-paid holidays annually
• Paid Sick Time
• 401(k) with up to 3% company match
• Referral Program
• Payactiv pay-on-demand
• Mileage reimbursement eligibility when traveling between facilities

Before you apply

• Must be legally authorized to work in the United States
• Must disclose any current or future need for employment-based immigration sponsorship
• Ability to pass background check

About the company

Ennoble Care is a mobile primary care, palliative care, and hospice service provider. Clinicians go to the homes of patients to provide a continuum of care for those with chronic conditions and limited mobility.