Full-Time Clinical Home Care Coordinator

Trinity Health•Muskegon, MI

About The Position

The Clinical Home Care Coordinator facilitates referrals to the post-acute homecare and hospice agency after patients are identified in the acute care setting. The coordinator educates acute care staff, including physicians, about available homecare and hospice services and may participate in business development related to expansion or new program development. The service areas are Grand Rapids and Muskegon, Michigan. The role coordinates homecare services for patients returning home from the hospital, working with case managers, discharge planners, hospital units, physicians, and other healthcare team members. It includes reviewing hospital medical records, assessing homecare needs, arranging services according to admission criteria and patient preferences, obtaining physician orders, and documenting plans in accordance with agency policies and applicable regulations. Trinity Health At Home is a national, faith-based, not-for-profit home care, hospice, and palliative care organization serving communities across 11 states. Its services include skilled nursing, physical, occupational, and speech therapy, and medical social work. The organization is Medicare-certified, Joint Commission-accredited, and identified as one of U.S. News Best Home Health Agencies 2026.

Requirements

  • Bachelor’s degree or equivalent level of experience.
  • At least two years of experience in an acute care setting, customer service, sales or marketing, or relevant experience.
  • Current driver’s license and reliable transportation to and from the work site.
  • Ability to demonstrate commitment to the mission and Organizational Code of Ethics and adhere to the Compliance Program.
  • Well-developed oral and written communication skills.

Nice To Haves

  • Graduate of an approved clinical education program.
  • Current clinical license in the state of employment.

Responsibilities

  • Maintain daily contact with case managers, discharge planners, and hospital units to ensure timely and efficient follow-up of patients referred for services.
  • Answer healthcare team members’ questions about homecare, hospice, and community-based services as they plan patient discharges.
  • Coordinate care for clients returning home from the hospital who have selected the agency’s services.
  • Review hospital medical records and copy portions for transmission when needed.
  • Document initial assessments of homecare needs and potential service plans in compliance with agency policy.
  • Arrange services in accordance with admission criteria, client care needs, and client preferences.
  • Obtain physician orders for initiation of homecare or hospice services according to agency policies and procedures and third-party regulations.
  • Assess clients using interviews, observation, and evaluation; apply clinical judgment consistent with practice standards to determine appropriate services and make recommendations to physicians and clients.
  • Provide education to acute care staff, including physicians, about available homecare and hospice services.
  • May participate in business development activities related to business expansion or new program development.

Benefits

  • Medical, dental, and vision coverage beginning on the first day.
  • Short- and long-term disability coverage.
  • 403(b) retirement plan with employer match.
  • Generous paid time off and seven paid holidays.
  • Tuition reimbursement up to $5,250 per year.
  • Mileage reimbursement.
  • Comprehensive onboarding and individualized orientation program.
  • Affordable medical, dental, vision, and retirement options.
  • Consistent assignments with guaranteed hours.
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