Transitional Care Manager

  • Anchorage, AK
  • Full-time

Company Description

The Alaska Native Tribal Health Consortium (ANTHC) is a not-for-profit health organization that provides statewide services in specialty medical care; operates the 150-bed, state-of-the-art Alaska Native Medical Center hospital; leads construction of water, sanitation and health facilities around Alaska; offers community health and research services; is at the forefront of innovative information technology; and offers professional recruiting to partners across the state. As a member of the Alaska Native Health Board, ANTHC works closely with the National Indian Health Board to address Alaska Native and American Indian health issues.

To achieve the vision that Alaska Native people are the healthiest people in the world, ANTHC works with customers, members of the Alaska Tribal Health System, and non-Native agencies that share common objectives. ANTHC asks employees to provide the highest quality health services, a level of service that makes Alaska Native people proud, and encourages Alaska Native people to make healthy choices that keep families and communities strong. ANTHC also works with many partners, lawmakers, volunteers and advocates toward building a unified health system to achieve the highest quality services.

Today with more than 2,000 staff members providing an array of health services, ANTHC is closer to its vision than ever before and making a life-changing difference in the health of Alaska Native people every day.

Job Description

Overview: In collaboration with the specialty and acute care team, medical providers, post-acute care team representative the patient’s primary care manager and the patient and their family – identifies and manages proactive care planning and interventions to promote patient wellness and satisfaction during continuum of care transition.


Location: Anchorage, Alaska


About ANTHC: A non-profit tribal organization providing healthcare and other services throughout the state of Alaska. For more information please visit

What you will be doing:


  • Create and coordinate a focused transitional and discharge plan of care for chronic, high risk patients in collaboration with patient, family, direct care providers.
  • Medical record review to measure patient progress against goals established
  • Expedite proper sequencing and scheduling of interventions, treatments and procedures.
  • Develop and maintain communication with patient coordinator and post-discharge providers.
  • Identify problems that affect patient flow, satisfaction and safety.
  • Chairs quarterly multi-disciplinary hospital committee on high risk chronic patients.
  • Assist leadership in Transitional Care Program
  • Management of measurement development, data collection, monitoring, analysis and reporting.


Things you need to have:


  • Bachelor’s Degree in Nursing OR Master’s Degree in Social Work
  • Minimum of five (5) years of experience as Registered Nurse or Licensed Clinical or Medical Social Worker.
  • Training and/or certification in National Academy of Certified Care Managers. Licensure in Clinical or Medical Social Work.

Additional Information


Human Resources – Recruiting

3900 Ambassador Drive

Anchorage, Alaska 99508



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