Care Navigator – Post-Discharge & Home Visits

Segue Health Management Corp; Longview (TX); Vor Ort; USD 45.000 - 55.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Zusammenfassung

Segue Health is seeking a compassionate Care Coordinator to support patients in the Longview, TX area, coordinating post-discharge transitional care management. The role combines clinical knowledge with strong organizational and communication skills to ensure smooth transitions from hospital to home.

Ideal candidates have experience in social work, nursing, or home health, with proficiency in Microsoft Excel and the ability to learn EMR/EHR software. Transportation to local hospitals is required.

Qualifikationen

• Must have experience in the medical field.
• Proficient in Microsoft Excel; ability to learn EMR/EHR software.
• Should have transportation to and from local hospital.
• Experience in social work, nursing, and/or home health preferred.
• Strong attention to detail and organizational skills.

Aufgaben

• Coordinate with referring facilities to generate list of patients eligible for TCM services.
• Visit referrals in the facility to explain the TCM program and assess post-discharge needs.
• Daily logging of referrals and discharges.
• Create charts in EMR and upload face sheet, H&P, and DC Summary.
• Post-discharge calls to patients within 24 hours.
• Schedule patients for in-home visits, preferably before discharge.

Kenntnisse

Microsoft Excel

EMR/EHR

Communication skills

Organization

Attention to detail

Tools

EMR/EHR software

Jobbeschreibung

Segue Health is seeking a compassionate Care Coordinator to support patients in the Longview, TX area, coordinating post-discharge transitional care management. The role combines clinical knowledge with strong organizational and communication skills to ensure smooth transitions from hospital to home.

Ideal candidates have experience in social work, nursing, or home health, with proficiency in Microsoft Excel and the ability to learn EMR/EHR software. Transportation to local hospitals is required.