Transitional Care Coordinator

Doctor's Choice Home Care & Hospice Texas; Dallas (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Doctor's Choice Home Care & Hospice Texas is seeking a Transitional Care Coordinator (TCC) to guide patients from facility discharges into post-acute care, coordinating with hospitals, physicians, and home care teams to ensure smooth transitions and follow-up.

The role requires one year in health care, RN or LVN, CPR, strong communication, and the ability to work independently while collaborating with diverse teams; travel 75-100% is expected.

Qualifications

• Minimum of one year experience in a health care organization, home care and/or hospice preferred.
• LVN or RN required.
• CPR certification with AHA or Red Cross if clinical.
• Strong written, verbal and listening communication skills.
• Ability to manage conflict, stress and multiple tasks effectively.
• Able to work independently while collaborating with team and be results-driven.
• Familiarity with State, CMS and accreditation survey processes.
• Valid driver’s license and reliable transportation.
• Travel between facilities required (approximately 75-100%).

Responsibilities

• Facilitate seamless transitions for patients from facility to post-acute care.
• Coordinate between referral sources and discharge providers to obtain documentation.
• Assess health literacy and caregiver needs.
• Collaborate with internal and external teams to ensure patient-centric care plans.
• Communicate to support optimal patient outcomes.

Skills

Communication

Time management

Problem solving

Collaboration

Customer service

Analytical skills

Education

High School Diploma or GED

Associate’s or bachelor’s degree in nursing or allied health

Tools

EMR systems

Microsoft Word

Excel

Outlook

Job description

Summary Of Essential Functions For The Position

Committed to Caring, the Transitional Care Coordinator (TCC) is a clinical team member of the sales team and is responsible for facilitating a seamless transition for patients discharging from a facility setting to one that facilitates post-acute needs, by communicating and collaborating with both internal and external teams to a support patient-centric care. The TCC will assess patients to determine their level of health literacy, assess for patient and caregiver needs, coordinate between the referral sources and discharge provider to assure needed documentation is obtained, and ensure patients and families are included in care planning. Once the transition is accomplished, the TCC will work and coordinate with the Agency to ensure that there are patient centric plans in place to ensure optimal patient outcomes. The TCC must possess the ability to communicate and collaborate with other individuals in many different settings, utilizing their clinical, sales, marketing, negotiation, problem solving, and analytical skills that lead to company market development initiatives and growth while focusing on serving more patients with excellent outcomes.

Qualifications

Qualifications / Licensure / Certification / Knowledge / Skills / Abilities:

• A minimum of one (1) year experience in a health care organization, home care and/or hospice preferred.
• LVN, RN required.
• CPR certified with American Heart Association or American Red Cross if a clinical.
• Possess excellent written, verbal and listening communication skills
• Ability to manage conflict, stress and multiple simultaneous work demands in an effective, professional manner.
• Ability to work independently, while collaborating with other team members, build relationships and be results driven.
• Strong understanding of customer and market dynamics, as well as transitional care best practices
• Possess sound organizational skills to include time management and problem solving
• Experience with State, CMS and/or accreditation survey process
• Must demonstrate good customer relations skills and a commitment to providing quality service
• Familiarity with healthcare laws, regulations, multiple accreditation standards and elements of performance
• Proficient with a computer and Microsoft Word, Excel and Outlook software. Working knowledge of EMR database.
• Ability to work with culturally diverse clients and address low literacy issue in care provision
• Acceptance and ability to demonstrate and support the core values and goals of Agency
• Valid driver’s license, automobile liability insurance and reliable transportation required
• Travel between facilities, hospitals and home care agency is required. Approximately 75%-100% travel.

Educational Requirements

High School Diploma or GED. Associate’s or bachelor’s degree in nursing or allied health preferred.

Working Conditions & Physical Requirements

Work environment is relatively quiet and can be stressful due to deadlines, multiple tasks and general compliance of law, rules, and regulations. The position requires visual acuity and dexterity, sitting, standing, some pushing, pulling, and lifting up to 25 pounds. Auto related accidents possible