Teams at Ampla Health

Coordinates daily patient transportation schedules, driver communications, route changes, billing reconciliation, vehicle logs, and maintenance reporting. Communicates with clinics, health plans, transportation vendors, patients, and drivers. May cover driving duties, safely transport patients, maintain required logs, and report incidents. Requires accurate recordkeeping, customer service, confidentiality, and occasional schedule adjustments outside standard hours.

Leads enhanced care coordination for patients enrolled in CalAIM and transitions-of-care programs. Conducts outreach, assessments, discharge follow-up, medication adherence support, referrals, appointment coordination, and care-plan implementation. Collaborates with healthcare providers and community organizations, documents patient services, monitors program metrics, and advocates for patient access to medical and social resources.

Coordinate care for high-risk patients through California’s CalAIM initiative. Responsibilities include patient outreach and enrollment, post-hospital and emergency-room follow-up, assessments, individualized care plans, medication adherence support, health education, collaboration with care teams and community services, quality monitoring, record maintenance, and patient advocacy.