VBC Transitional Care Coordinator - San Antonio, TX

San Antonio, TX, USA Req #613
Thursday, February 8, 2024

Panoramic Health

Come Join our team!! 

Panoramic Health aims to improve the transition of care from the acute hospital setting to the outpatient clinic for patients with kidney disease. We will accomplish this through collaboration with physicians, hospital staff, clinic staff, and our VBC team. The Transitional Care Coordinator will serve as the primary contact for these coordination efforts. The Transitional Care Coordinator will be present daily within hospitals to help identify patients, obtain information regarding their hospitalization, and coordinate all necessary post discharge care.


Responsibilities include:

  • Proactively identifies  and rounds on VBC patients within the hospital.
  • Communicates with physicians in hospital to assist in coordinating plan of care.
  • Serves as the primary liaison between the hospital case management and the VBC team.
  • Tracks patients through the acute care process until discharge and alerts appropriate care team members of the patients’ ongoing location status.
  • Determines any unidentified needs from patients and family while in hospital.
  • Tracks patients through the acute care process until discharge and alerts appropriate care team members of the patients’ ongoing location status.
  • Obtains hospital medical records for VBC team and clinic staff for all hospital admissions in market.
  • Coordinates post discharge care with primary care physician, nephrologists, and other specialists.
  • Attends VBC team meetings as required.
  • Completes documentation in a timely fashion and complies with regulatory and legal standards.
  • Perform other duties and responsibilities as required, assigned, or requested.


  • HS diploma, associate’s, or bachelor’s with healthcare customer experience or medical assistant experience preferred.
  • 3-5 years of related experience.
  • Strong attention to detail and organization.
  • Expert computers skills with the ability to navigate and filter multiple software platforms at once.
  • Impeccable interpersonal skills including the ability to communicate with physicians and other licensed disciplines with ease.
  • Ability to write, speak, and communicate clearly.
  • Customer service acumen.
  • MS Office (Teams, Outlook, Excel), phone systems, and fax.
  • Data entry.
  • Sorting, filing, and reconciliation.
  • Ability to read, write, and speak English.


The Company is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment

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Other details

  • Pay Type Hourly
Location on Google Maps
  • San Antonio, TX, USA