Compassionate Care Coordinator: Post-Discharge Home Visits

Segue Health Management Corp

Southaven (MS)

On-site

USD 45,000 - 55,000

Full time

14 days+

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Job summary

Segue Health is a faith-based medical practice seeking a compassionate Care Coordinator to support post-discharge transition for patients in DeSoto County and surrounding areas. You will coordinate services, communicate with facilities, and ensure timely home visits, with a focus on accurate documentation in EMR and respectful patient interactions.

Our team values empathy, detailed organization, and reliable communication as we bridge hospital discharge to home care, delivering patient-centered

Qualifications

Must have experience in the medical field.
Knowledge of Microsoft Excel and ability to learn EMR/EHR software.
Must have transportation to and from local hospital.
Vaccination proof or meet hospital vaccination requirements.
Experience in social work, nursing, and/or home health preferred.
Attention to detail and strong organizational skills.

Responsibilities

Collaborate with referring facilities to identify patients eligible for TCM services.
Visit referrals in facilities to explain the TCM program and needs.
Log referrals and discharges daily.
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 prior to discharge.