Under the general supervision of the Manager, Ambulatory Care Navigation, this individual will support the Ambulatory Care Navigation Department through collaboration and coordination of transition of care activities. Responsibilities include medical record and report interrogation and audits; conducting outreach activities to post-acute facilities and patients for maximizing transitional care outcomes; facilitating post-facility discharge communication with patients, primary and specialty providers of care; enhancement of care delivery to maximize provider performance with value-based reimbursement and quality payment programs. Has working knowledge of policies, procedures, and protocols to assist with coordination projects and care navigation activities.