Verified Job
Healthcare
Care Continuum Partner
Healthcare
#55289
Remote / WFH
Lehigh Valley Health Network
Job Description
Full-Time
Day Shift
Department
LVPG-L General & Bariatric Surgery - Muhlenberg
Shift Details
Day Shift, M-F: 0800-1630
Job ID
wd-JR137644
Posted
June 22, 2026
Care Continuum Partner
Join a team that delivers excellence.
Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
The Care Continuum Partner serves as the main liaison between the patient, family, and clinical team for patients and their families across the continuum of their care. At every touch point with the patient, provides the full capabilities to partner with patient and families to coordinate, navigate and schedule all aspects of their care including outpatient, procedures, community and transition of care needs to deliver an optimal patient experience. Responsible for meeting patients where they are within our physical/virtual walls and responsible for advanced level partnerships with patients including scheduling of patients appointments, and addressing the full care needs and care compliance opportunities for patients both within and outside our walls.
Job Duties
In collaboration with clinical care team, participates and supports in pre-visit planning to ensure smooth operation and patient flow in busy physician practice. Provides support regarding referral management and intake, scheduling, pre-certification process, follow up calls and record retrieval for timely appointments.
Coordinates and schedules complex appointments for patient across their continuum of care including procedures, office visits, diagnostic testing, and other ancillary services that require coordination of multiple resources. Included but not limited to: procedures, surgery, radiology and diagnostic imaging, diagnostic testing, labs, new patient coordination and therapeutic care plans. May serve as new patient concierge role in regional or practice models.
Assesses patient and family needs and supports care plan compliance. Examples include new patient coordination and intake, conducting patient outreach to follow up on patient care and appointment needs. Conducts patient outreach to follow up on patient care and appointment needs. Communicates with patient in traditional and innovative platforms including telephone, patient portal and other virtual platform solutions where applicable.
Facilitates communication amongst the physician/provider, clinical care team as well as financial, outpatient, ancillary and supportive services.
Provides the patient with clear instructions on how to prepare for tests and procedures and explains what to expect upon arrival per established guidelines. Provides patient with robust care continuum plan and explanation of necessary care elements.
Creates a warm and welcoming environment for patients, families and staff using exceptional customer service and compassionate care skills.
Connects patient and families with resources and services from both within the organization in support of their continuum of care (e.g. financial counseling, transportation support, social work, counseling, nurse navigation, nutrition services, and support groups, etc.) based on social determinants of health. Supports the care team's process to assess patient's social determinants of health and other community and psychosocial needs.
Create and maintain patient records, manages visit prior authorization and referral requirements.
Serves as expert and liaison to patient and family on the patient portal and medical record technology. Functions as Virtual Care Concierge partner offering assistance and guidance when appropriate.
Minimum Qualifications
High School Diploma/GED commitment to advance education.
2 years experience interacting with patients as part of this experience, performing at least some of these core functions and
3 years experience working within a complex health system environment
Day Shift
Department
LVPG-L General & Bariatric Surgery - Muhlenberg
Shift Details
Day Shift, M-F: 0800-1630
Job ID
wd-JR137644
Posted
June 22, 2026
Care Continuum Partner
Join a team that delivers excellence.
Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
The Care Continuum Partner serves as the main liaison between the patient, family, and clinical team for patients and their families across the continuum of their care. At every touch point with the patient, provides the full capabilities to partner with patient and families to coordinate, navigate and schedule all aspects of their care including outpatient, procedures, community and transition of care needs to deliver an optimal patient experience. Responsible for meeting patients where they are within our physical/virtual walls and responsible for advanced level partnerships with patients including scheduling of patients appointments, and addressing the full care needs and care compliance opportunities for patients both within and outside our walls.
Job Duties
In collaboration with clinical care team, participates and supports in pre-visit planning to ensure smooth operation and patient flow in busy physician practice. Provides support regarding referral management and intake, scheduling, pre-certification process, follow up calls and record retrieval for timely appointments.
Coordinates and schedules complex appointments for patient across their continuum of care including procedures, office visits, diagnostic testing, and other ancillary services that require coordination of multiple resources. Included but not limited to: procedures, surgery, radiology and diagnostic imaging, diagnostic testing, labs, new patient coordination and therapeutic care plans. May serve as new patient concierge role in regional or practice models.
Assesses patient and family needs and supports care plan compliance. Examples include new patient coordination and intake, conducting patient outreach to follow up on patient care and appointment needs. Conducts patient outreach to follow up on patient care and appointment needs. Communicates with patient in traditional and innovative platforms including telephone, patient portal and other virtual platform solutions where applicable.
Facilitates communication amongst the physician/provider, clinical care team as well as financial, outpatient, ancillary and supportive services.
Provides the patient with clear instructions on how to prepare for tests and procedures and explains what to expect upon arrival per established guidelines. Provides patient with robust care continuum plan and explanation of necessary care elements.
Creates a warm and welcoming environment for patients, families and staff using exceptional customer service and compassionate care skills.
Connects patient and families with resources and services from both within the organization in support of their continuum of care (e.g. financial counseling, transportation support, social work, counseling, nurse navigation, nutrition services, and support groups, etc.) based on social determinants of health. Supports the care team's process to assess patient's social determinants of health and other community and psychosocial needs.
Create and maintain patient records, manages visit prior authorization and referral requirements.
Serves as expert and liaison to patient and family on the patient portal and medical record technology. Functions as Virtual Care Concierge partner offering assistance and guidance when appropriate.
Minimum Qualifications
High School Diploma/GED commitment to advance education.
2 years experience interacting with patients as part of this experience, performing at least some of these core functions and
3 years experience working within a complex health system environment
