Transitions of Care Physician and Medical Lead

Quick Facts

• Role: Transitions of Care Physician and Medical Lead

Description

Provide clinical leadership and oversight for transitions of care initiatives, ensuring patients receive the right care at the right time in the right setting. Coordinate patient-centered care across hospital, primary, specialty, and community settings to reduce avoidable readmissions, improve continuity, and address barriers to services. Lead evidence-based, innovative care coordination efforts and mentor teams to improve outcomes and healthcare access for underserved populations.

Responsibilities

• Provide clinical leadership and oversight for transitions of care initiatives

• Support coordinated, patient-centered care across care settings

• Partner with multidisciplinary teams to reduce avoidable readmissions and improve continuity

• Champion evidence-based practices and innovative approaches to care coordination

• Collaborate with physicians, advanced practice providers, care managers, and community partners

• Identify opportunities to improve workflows, clinical quality, and patient experience

• Serve as a physician leader, mentor, and advocate for equitable, accessible healthcare

Requirements

• MD or DO from an accredited medical school

• Board certification or eligibility in an appropriate medical specialty

• Active or eligible Texas medical license

• Experience in transitions of care, hospital medicine, population health, care coordination, or related clinical leadership

• Strong communication, collaboration, and relationship-building skills

• Passion for improving healthcare access, quality, and outcomes for underserved populations

• Ability to inspire teams, drive improvement, and lead with compassion

Benefits

• Competitive compensation and comprehensive benefits including health and wellness coverage, retirement planning, paid time off, and additional employee resources (subject to plan provisions)

• Work-life balance with an emphasis on sustainable leadership and personal well-being

• Purpose-driven physician leadership focused on collaboration, innovation, and community service