In-Home Post-Discharge Care Coordinator

Segue Health Management Corp; Dallas (TX); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Segue Health Management Corp in Dallas, TX seeks a compassionate Care Coordinator to manage post-discharge transitional care. You will coordinate with hospitals and home health teams, ensuring timely follow-up and patient needs are addressed.

The role requires medical familiarity, strong organization, and excellent communication. Full-time position with competitive benefits and a mission-driven, faith-based environment.

Qualifications

• Must have experience in the medical field.
• Proficient in Microsoft Excel and able to learn EMR/EHR software.
• Must have transportation to local hospital.
• Experience in social work, nursing, and/or home health preferred.
• Attention to detail and strong organizational skills required.
• Vaccination proof or compliance with hospital vaccination requirements.

Responsibilities

• Work with referring facility to generate list of patients eligible for TCM services.
• Visit referrals while in the facility to explain the TCM program and determine 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.

Skills

Medical experience

Excel proficiency

EMR/EHR familiarity

Transportation

Attention to detail

Organizational skills

Communication skills

Tools

Microsoft Excel

EMR/EHR software

Job description

Segue Health Management Corp in Dallas, TX seeks a compassionate Care Coordinator to manage post-discharge transitional care. You will coordinate with hospitals and home health teams, ensuring timely follow-up and patient needs are addressed.

The role requires medical familiarity, strong organization, and excellent communication. Full-time position with competitive benefits and a mission-driven, faith-based environment.