Job DescriptionUnder direct supervision assists with identifying community resources for patients that are part of the Transitional Care Coordination Program. The transitional care coordination program identifies patients at high risk for readmission to the hospital. In collaboration with the clinical team, this role is accountable for the continuity and integration of patient care services.Company DescriptionRenowned as the academic flagship of the University of Maryland Medical System, our Magnet(r)-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC