Care Coordinator-Harris/ Fort Worth

Segue Health Management CorpFort Worth, TX
Onsite

About The Position

Segue Health, a faith-based medical practice, is seeking a compassionate Care Coordinator to join our team serving patients in the Fort Worth, TX area. This role focuses on coordinating post-discharge transitional care management. The position requires a blend of clinical knowledge, strong organizational skills, and excellent communication abilities.

Requirements

  • Experience in the medical field.
  • Knowledge of Microsoft Excel.
  • Ability to learn EMR/EHR software.
  • Must have transportation to and from local hospitals.
  • Must have a heart to serve others.
  • Attention to detail and organizational skills are MOST important.

Nice To Haves

  • Experience in social work, nursing, and/or home health.

Responsibilities

  • Working with referring facilities to generate a list of patients eligible for Transitional Care Management (TCM) services.
  • Visiting referrals while in the facility to explain the TCM program and identify anticipated post-discharge needs.
  • Daily logging of referrals and discharges.
  • Creating charts in EMR and uploading face sheets, H&Ps, and Discharge Summaries.
  • Making post-discharge calls to patients within 24 hours.
  • Scheduling patients, preferably prior to discharge, for in-home visits.

Benefits

  • Competitive Benefits Provided
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