Care Transition Supervisor

About the role

The Care Transitions Supervisor provides operational supervision and day-to-day oversight of the Care Transitions team within the Virtual Medical Team (VMT). This position is responsible for coordinating post-acute care transition services, supervising Care Transitions Liaisons and support staff, and ensuring timely, patient-centered coordination of care for patients transitioning from hospitals, skilled nursing facilities (SNFs), emergency departments, and other care settings.

This is a hybrid role in Berkeley. This is a full time, exempt, benefit eligible position. LifeLong Medical Care is a 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 over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more.

Essential Functions

• Provides day-to-day operational oversight of the Care Transitions team within the Virtual Medical Team (VMT), ensuring efficient workflows and high-quality patient care.
• Supervises, recruits, hires, trains, coaches, develops, and evaluates Care Transitions Liaisons and assigned staff, fostering a collaborative, patient-centered culture of continuous improvement.
• Manages staffing, workload distribution, scheduling, and operational priorities to ensure appropriate coverage and timely patient outreach.
• Oversees care transition workflows for patients discharged from hospitals, emergency departments, skilled nursing facilities, and other care settings, ensuring timely follow-up, care coordination, and adherence to organizational standards.
• Collaborates with Care Transitions Nurses, providers, Primary Care, Population Health, Referral Management, Behavioral Health, and interdisciplinary teams to address barriers to care and improve patient outcomes.
• Serves as the operational liaison between the Virtual Medical Team, clinic leadership, hospitals, skilled nursing facilities, health plans, and community partners to support seamless transitions of care.
• Monitors operational performance, patient work queues, quality metrics, and documentation compliance, implementing process improvements that reduce readmissions, improve patient experience, and support organizational goals.
• Serves as the escalation point for complex care transition issues requiring cross-departmental coordination and problem resolution.

Administration, Compliance & Budget

• Ensures compliance with LifeLong policies and applicable federal, state, and local regulations.
• Maintains operational documentation and reporting requirements related to Care Transitions activities.
• Supports auditing of documentation and workflow compliance within the electronic health record.
• Assists with policy and procedure development and updates.
• Participates in departmental planning, resource allocation, and operational improvement initiatives.
• Supports budget stewardship by effectively managing staffing resources and operational efficiencies.

Community Relations And Coordination

• Functions as a liaison to other community organizations.
• Actively engages program volunteers, committee members, board members, partnering organizations, and funders to build community support.
• Assists with marketing and outreach efforts, including community presentations and educational events.
• Other duties as assigned.

Benefits

• Medical, dental, vision (including dependent and domestic partner coverage)
• Generous leave benefits including ten paid holidays
• Flexible Spending Accounts
• 403(b) retirement savings plan

Pay

$70,400 - $75,000/year