Care Coordinator, Transitional Care Management jobs in United States
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Strive Health · 1 day ago

Care Coordinator, Transitional Care Management

Strive Health is dedicated to transforming the kidney care system through comprehensive coordinated care. The Care Coordinator will work collaboratively with the care team to support patients with chronic kidney disease and ensure continuity of care by coordinating resources and communication.

Health CareInformation TechnologyMedicalmHealth
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Responsibilities

Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources
Performs outbound calls to providers to make appointments for patients or follow up on care
Answers inbound calls from patients, providers, and other resources
Follows up with patients to ensure their needs are met and schedules future check-ins
Notifies patients of location and appointment times as needed
Coordinates with clinical resources and providers to ensure smooth continuum of care for patients
Assists with completing applications for resources, paperwork for provider visits, etc
Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information
Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments
Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources, appointments, care transitions, and care gaps

Qualification

BLSCPR CertificationCommunity Health Worker CertificationCustomer service experienceMS Office proficiencyDiscretionJudgmentVerbal communication skillsWritten communication skills

Required

2+ years combined of related education, experience, or certification
Current BLS or CPR Certification required
Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms

Preferred

Active Community Health Worker (CHW) Certification
Customer service experience
Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook

Benefits

Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

Company

Strive Health

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Strive Health is a value-based kidney care provider with an integrated system supporting the journey of individuals with kidney disease.

Funding

Current Stage
Late Stage
Total Funding
$936M
Key Investors
New Enterprise AssociatesHercules CapitalCapitalG
2025-09-09Series D· $300M
2025-09-09Debt Financing· $250M
2023-05-31Series C· $166M

Leadership Team

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Chris Riopelle
Co-Founder & Chief Executive Officer
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Keith Bellovich
Chief Nephrologist
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Company data provided by crunchbase