Transition of Care Coordinator (TOC)

The Transition of Care (TOC) Coordinator, under the supervision of the TOC RN Supervisor, management from the TOC Manager, and the leadership direction of the Director of Care Transitions Management, will provide support services in all functional areas of the TOC objectives and goals in inpatient, outpatient, and community settings. The TOC Coordinator will serve as the communication link between patients and healthcare professionals and act as an expert resource person for all transitional care needs. Using a high degree of knowledge and expertise in problem solving and analysis of unique challenges related to transition of care of patients across the health care continuum, this position works collaboratively with UC Davis Health Plans, other Health Plans, health care professionals and agencies to ensure a smooth transition and improve delivery of services to the community including coordination of all TOC care coordination management and activities. This position is performed onsite and or telephonically as directed by the TOC Director.

Apply By Date: August 4, 2025 at 11:59 PM

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required for the position

• Bachelor's degree in a related area and/or equivalent experience/training
• Extensive experience in clinical care coordination/patient navigation or similar related work
• Advanced interpersonal, written, and verbal communication and skills to resolve issues and communicate effectively with a diverse population, including physicians, nurses, allied health professionals, administrators, and a wide variety of non-technical staff
• Excellent customer service skills to understand and articulate diverse clients' needs and objectives; manage expectations and deliver services promptly
• Advanced knowledge of community resources, insurance authorization process, discharge planning, and best practices
• Strong critical thinking and problem-solving skills to manage complex information, assess problems, and develop effective solutions
• Excellent planning, organizational, and time-management skills

Preferred Qualifications

• Patient Navigation Certification
• Bachelor's degree in healthcare management, public health, social work, or other healthcare or related field, or equivalent training/experience
• Experience working in a healthcare organization
• Experience in acute or post-acute discharge planning or case management.
• Knowledge and experience with community resources and transition of care
• Knowledge of standards and regulations, medical practices and procedures, medical terminology, disease categories, and services provided in an ambulatory and institutional setting
• Strong communication and interpersonal relationship skills to establish and maintain effective relationships with patients, families, team members, and hospital staff in a wide variety of positions and departments
• Ability to be sensitive and effective with persons representing a broad spectrum of social, ethnic, and economic backgrounds
• Multilingual

Key Responsibilities

• 60% - CLINICAL CARE COORDINATION AND COLLABORATION
• 35% - COMMUNICATION, DOCUMENTATION, AND CONSULTATION
• 5% - EDUCATION

Department Overview

The Care Transition Management department, which includes the Transitions of Care (TOC) at UC Davis Health, is dedicated to developing and implementing an effective and cost-efficient system of delivering and managing patient-centered, team-based quality care. The department has several key programs, including the Multi-Visits Patients Program, which ensures patients receive appropriate care in the most appropriate setting, the Health Navigator Program, which coordinates post-discharge care needs to ensure a smooth transition and optimal outcomes, the Post-Discharge Automated Call Program, which provides an additional layer of support to patients after they leave the hospital, and the SNF Collaborative Program, which improves the quality of care for patients discharged to skilled nursing facilities by collaborating with local SNFs. Together, these programs demonstrate the department's commitment to providing comprehensive and coordinated care to patients throughout their healthcare journey.

POSITION INFORMATION

• Salary or Pay Range: $2,375.48- $4,176.25
• Salary Frequency: Bi-weekly
• Salary Grade: Grade 20
• UC Job Title: PAT NAVGTR NON-CLIN 4
• UC Job Code: 006939
• Number of Positions: 1
• Appointment Type: Career
• Percentage of Time: 100% Full-time
• Shift (Work Schedule): (Mon-Fri) 8:00 AM-5:00 PM
• Location: North Addition Office Building, Sacramento, CA
• Union Representation: Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)
• THIS IS NOT AN H-1B VISA OPPORTUNITY

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources, and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial, and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations, and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html.

* High-quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered, including additional life, short/long-term disability, pet insurance, and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles, including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Continuous 6 to 8+ Hours

Environmental Demands

• Loud noise levels - Frequent 3 to 6 Hours
• Marked changes in humidity or temperature - Occasional Up to 3 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Frequent 3 to 6 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

• UC Davis is a smoke and tobacco-free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis-owned or leased property, indoors and outdoors, including parking lots and residential space.
• Ability to work variable hours and weekends; occasional overtime and some restricted vacation times due to operational needs of the department.
• Will require working in clinical areas.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position.

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance, and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures, and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan, and our strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere #CA-ZM

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks