Transitional Care Navigator – Home Health

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

Benefits offered by this job

Competitive Benefits Provided

Job summary

Segue Health is a faith-based medical practice in Dallas, Texas, seeking a compassionate Care Coordinator to support patients transitioning from hospital to home. The role combines clinical knowledge with strong organizational and communication skills to coordinate post-discharge care.

The ideal candidate has experience in the medical field, proficiency with Excel and EMR/EHR software, reliable transportation, and a heart to serve others.

Qualifications

• Must have experience in the medical field.
• Must have knowledge of Microsoft Excel and the ability to learn EMR/EHR software.
• Should have transportation to and from local hospital.
• Must have a heart to serve others.
• Our most successful candidates have experience in social work, nursing, and/or home health.
• Attention to detail and organizational skills are MOST important.
• Must provide proof of vaccinations or meet vaccination requirements per hospital standards.

Responsibilities

• Working with referring facility to generate list of patients eligible for TCM services.
• Visiting referrals while in the facility to explain the TCM program and determine if there are any anticipated needs post discharge.
• Daily logging of referrals and discharges.
• Creating charts in EMR and uploading face sheet, H&P, and DC Summary.
• Post discharge calls to patients within 24 hours.
• Scheduling of patients preferably prior to discharge for in home visits.

Skills

Medical field experience

Reliable transportation

Compassionate care

Attention to detail

Organizational skills

Tools

Excel

EMR/EHR software

Job description

Segue Health is a faith-based medical practice in Dallas, Texas, seeking a compassionate Care Coordinator to support patients transitioning from hospital to home. The role combines clinical knowledge with strong organizational and communication skills to coordinate post-discharge care.

The ideal candidate has experience in the medical field, proficiency with Excel and EMR/EHR software, reliable transportation, and a heart to serve others.