Top 11 Transitional care coordinator Jobs in Amarillo, Tx

Transitional Care Coordinator
EXCELACARE HOME HEALTH AND HOSPICE —Amarillo, TX
- Full-time
- Nursing
- RN License
- Marketing
- Flexible schedule
9d
Physician (Patient Aligned Care Team) with Recruitment/Relocation/EDRP
US Veterans Health Administration —Amarillo, TX
- $220,000 - $315,000 a year
- Online Application
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program
Physician (Emergency Medicine w/Recruitment-Relocation Incentive-EDRP)
US Veterans Health Administration —Amarillo, TX
- $300,000 - $375,000 a year
- Online Application
- Acute care
- Background check
- Medicine
- Paid holidays
- Loan repayment program
Psychiatrist (Part-Time w/EDRP)
US Veterans Health Administration —Amarillo, TX
- $325,000 - $400,000 a year
- Part-time
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program
Physician (Psychiatrist) - Recruitment/Relocation Incentive-EDRP Authorized
US Veterans Health Administration —Amarillo, TX
- $124,308 - $315,000 a year
- Online Application
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program
Physician GEC/HBPC Medical Director w/Recruitment/Relocation Incentive-EDRP
US Veterans Health Administration —Amarillo, TX
- $250,000 - $325,000 a year
- Online Application
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program
Physician (Cardiologist w/Recruitment/Relocation Incentive-EDRP)
US Veterans Health Administration —Amarillo, TX
- $325,000 - $380,000 a year
- Online Application
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program

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Physician (Thoracic Surgeon) w/Recruitment Incentive
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(2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two…
$300,000 - $375,000 a year
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transitional care coordinator jobs near amarillo, tx

Transitional Care Coordinator

EXCELACARE HOME HEALTH AND HOSPICE
Amarillo, TX

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Job Details

Full-time
9 days ago

Benefits

Flexible schedule

Qualifications

RN License
Driver's License
Bachelor's degree

Full Job Description

Transitional Care Coordinator - Home Health & Hospice

About Us:

At ExcelaCare Home Health and Hospice, we believe Home Health & Hospice care is more than a service—it’s a calling. Every day, our team brings comfort, dignity, and peace of mind to patients and families facing life’s most delicate moments. With compassion at our core, we create a workplace where kindness leads, voices are heard, and every role carries purpose. If you’re looking to make a difference in the lives of others while being part of a team that feels like family, we’d love to welcome you.

Job Summary:

The Transitional Care Coordinator is responsible for managing the transition of patients from hospital care to home health care services. This role involves coordinating with hospital staff, home health care teams, patients, and their families to ensure continuity of care, compliance with care plans, and effective communication across all parties.

Essential Functions:

Conduct comprehensive assessments of patients transitioning from hospital to home health care.
Develop and implement individualized care plans in collaboration with healthcare providers, patients, and their families.
Evaluate the patient's home environment to ensure it is suitable for their care needs.
Serve as the primary liaison between hospital staff, home health care teams, patients, and their families.
Ensure timely and accurate transfer of medical information and care plans.
Facilitate communication between all parties involved in the patient’s care
Coordinate the discharge process from the hospital, ensuring all necessary medical equipment, medications, and supplies are arranged.
Schedule follow-up appointments and coordinate transportation if needed.
Monitor patients’ progress and address any issues that arise during the transition period.
Educate patients and their families about the home health care process, care plans, and self-care techniques.
Provide ongoing support and resources to patients and families to help them manage their health conditions at home.
Maintain accurate and up-to-date patient records in accordance with healthcare regulations and organizational policies.
Ensure compliance with all relevant health care standards and protocols.
Monitor and report on patient outcomes and the effectiveness of transitional care plans.
Work closely with multidisciplinary teams including physicians, nurses, social workers, and therapists to coordinate comprehensive care.
Participate in regular team meetings and case conferences to discuss patient care plans and progress.

Additional Responsibilities:

Performs other duties as assigned or requested.
Conforms to all applicable Agency policies and procedures.
Participates actively in continuing education and in-services.
Maintains confidentiality of patient information and business trade practices
Assumes accountability for reporting incidents and complaints according to Agency policy.

Knowledge / Skills / Abilities:

Organizational skills
Ability to supervise in accordance with Agency’s policies and applicable laws.
Strong clinical assessment and care planning skills
Ability to work independently and as part of a team
Ability to respond to common inquiries or complaints, regulatory agencies, or members of the business community.
Time management
Cooperative attitude
Advanced written and verbal interpersonal communication
Basic math skills related to patient care.

Age-Related Competencies:

Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.

Information Management:

Treats all information and data within the scope of the position with appropriate confidentiality and security.

Risk Management:

Cooperates fully in all risk management activities and investigations.
Keeps abreast of changes in health care law.
Maintains Agency/program compliance with local, state, and federal laws as well as state accreditation standards.

Minimum Position Qualifications:

Education:

Bachelor's degree in a related field (Healthcare Administration, Business, or Marketing preferred).

Experience:

2 years nursing or social work experience

1 year of home care, intake or case management experience

License / Certification:

Driver’s license and proof of current auto liability insurance; no listing in the OIG Excluded Provider listing

Registered Nurse license in the state practicing. Additional certification in case management or transitional care coordination are a plus

Environmental Conditions:

Works under a variety of conditions in facilities and offices; ability to work flexible schedule, ability to travel locally; some exposure to unpleasant weather. Moderate noise level; tasks may involve exposure to bloodborne pathogens; moderate stress and emotional demands.

Physical Requirements: Sitting is required. Requires ability to always handle stressful situations in a calm and courteous manner. Requires working under some stressful conditions to meet deadlines and agency needs. Ability to travel.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.

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transitional care coordinator jobs in amarillo, tx

Transitional Care Coordinator

Physician (Patient Aligned Care Team) with Recruitment/Relocation/EDRP

Physician (Emergency Medicine w/Recruitment-Relocation Incentive-EDRP)

Psychiatrist (Part-Time w/EDRP)

Physician (Psychiatrist) - Recruitment/Relocation Incentive-EDRP Authorized

Physician GEC/HBPC Medical Director w/Recruitment/Relocation Incentive-EDRP

Physician (Cardiologist w/Recruitment/Relocation Incentive-EDRP)

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