Medical Assistant/Transition Care

Are you an experienced Medical Assistant who is ready to join a great team?
DMC Primary Care seeks a Certified Medical Assistant for the full-time role of Transitional Care Specialist (TCS). A TCS is responsible for supporting patients as they transition from inpatient, emergency department, skilled nursing, or acute rehab settings back to the primary care environment. The TCS enhances patient outcomes by coordinating follow-up care, conducting structured post-discharge outreach, ensuring timely communication between care teams, and appropriately addressing clinical or social needs that may impact recovery. This role works closely with providers, nursing staff, care managers, and administrative teams to maintain continuity of care and reduce avoidable readmissions.

Duties Include (but are not limited to):

+ Conduct timely post-discharge outreach (phone calls, portal messages, or other approved outreach methods) to assess patient status, confirm discharge inst...