Segue Health Management Corp·Longview, Texas
The Care Coordinator manages post-discharge transitional care by visiting patients in facilities and coordinating their transition to home care. Responsibilities include maintaining patient charts in EMR, logging referrals, and conducting follow-up calls within 24 hours of discharge.
Segue Health-- Faith Based Medical Practice Segue Health, a faith based medical practice, is seeking a compassionate Care Coordinator to join our team serving patients in the Longview, TX area coordinating post discharge transitional care management. This position requires a mix of clinical knowledge, excellent organizational skills, and excellent communication skills.
Must have experience in the medical field Must have a 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 Daily tasks include: 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 Our most successful candidates have experience in social work, nursing, and/or home health. Attention to detail and organizational skills are MOST important. Job Type: Full-time Salary: $45,000.00 - $55,000.00 per year Competitive Benefits Provided Schedule: 8 hour shift Monday to Friday About Segue Health Segue Health is a mission-focused organization dedicated to delivering exceptional, Christ-centered care to patients in their homes and communities. Our goal is to bridge the transition from hospital to home with excellence, empathy, and continuity of care.
Candidates must have experience in the medical field, specifically in social work, nursing, or home health. Proficiency in Microsoft Excel and the ability to learn EMR/EHR software are required, along with reliable transportation for local travel.
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Market context
Care Coordinator roles in Texas are often shaped by steady demand in clinics, hospitals, and home health settings that need help connecting patients with services and follow-up care. This role is competitive because employers typically look for medical-field experience in social work, nursing, or home health, plus Excel skills, EMR/EHR adaptability, and reliable local transportation. If you are considering applying, review how your background supports patient coordination and be ready to show comfort with documentation and travel. Job requirements and benefits on this platform are AI-summarized from the original job description, saving candidates research time.