DMC Primary Care Physicians, P.C.

The full-time Transitional Care Specialist role at DMC Primary Care supports patients moving from acute or inpatient settings back to home care. Based in Bedford, the position involves conducting post-discharge outreach to assess patient status, reviewing discharge summaries to coordinate follow-up actions, and performing clinical assessments within the Medical Assistant scope. The role requires collaboration with providers, care managers, and community resources to ensure continuity of care and reduce readmissions. This opportunity appeals to experienced professionals seeking to make a direct impact on patient outcomes within a long-standing, physician-owned practice. The position offers a supportive work environment with comprehensive benefits and opportunities for professional growth in a collaborative team setting.