Position Purpose Trinity Health At Home is seeking a compassionate, organized, and mission‑driven Home Care Coordinator to support patients transitioning from the acute care setting to home-based services. In this vital role, you will facilitate timely and efficient referrals to home care and hospice, educate clinical teams on available services, and collaborate across the healthcare continuum to ensure patients receive the highest standard of care. This position also contributes to business development and new program initiatives that support our commitment to exceptional patient-centered service. What You Will Do Serve as the primary liaison between hospital care teams, patients, and Trinity Health At Home to coordinate safe and seamless discharges. Maintain daily communication with case managers, discharge planners, and acute care units to follow up on referrals promptly. Conduct initial assessments of home care needs, review hospital medical records, and prepare documentation according to agency policies. Coordinate services based on admission criteria, patient preferences, and clinical needs, securing physician orders in accordance with regulatory requirements. Provide education to patients, families, physicians, and healthcare staff regarding home care, hospice, and community resources. Facilitate communication across physicians, hospital units, intake teams, and other care providers to support continuity of care. Participate in quality improvement activities, business development efforts, and new program implementation. Maintain confidentiality, ethical practice, accurate documentation, and adherence to compliance requirements.
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Job Type
Full-time
Career Level
Mid Level