More jobs:
Transitional Care Social Worker | CCM Eligible
Job in
Pittsburgh, Allegheny County, Pennsylvania, 15289, USA
Listed on 2026-07-13
Listing for:
8350 Oak Street Health MSO LLC
Full Time
position Listed on 2026-07-13
Job specializations:
-
Social Work
Patient/Health Advocate
Job Description & How to Apply Below
Oak Street Health MSO LLC is seeking a Transitional Care Manager - Social Worker (TCM-SW) to lead patient-centered transitions of care across settings, empowering patients and families with information and support to execute post-acute care plans.
The role emphasizes collaboration with care teams, discharge planning, and ensuring timely follow-up with PCPs while navigating CMS and NCQA criteria to prevent readmissions.
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