Employment Type:

Shift:

Description:

Clinical Home Care Coordinator - Registered Nurse, LPN, Therapist or Social Worker

Service Areas: Grand Rapids & Muskegon, MI

Build a Career. Make a Difference. Love Where You Work.

As a Clinical Home Care Coordinator, you will be responsible for the efficient and effective facilitation of referrals to the post-acute homecare/hospice agency once identified in the acute care setting; the provision of education to acute care staff, including physicians, regarding services available from homecare/hospice; and may also be involved in business development activities as they relate to business expansion or new program development.

Why Join Us?  

Start Here… Grow Here... Stay Here!  

At our core, we believe in building careers, not just jobs. Many of our team members stay with us for the long haul—and for good reason. Our culture is built on support, growth and opportunity.  

What You Can Expect

• Consistent, Reliable Workloads  
  Enjoy steady assignments with guaranteed hours—no surprises.  

• Competitive Pay & Low-Cost Benefits  
  Strong compensation paired with affordable medical, dental, vision, retirement options and more. And your benefits begin on your first day!

• Supportive Leadership  
  Our management team is here to help you succeed every step of the way.  

• Epic EMR System  
  Streamlined documentation and communication for better care and less stress.  

• Fast Hiring Process  
  Quick interviews and timely offers because your time deserves respect.  

What Will You Do

• Maintains daily contact with case managers/discharge planners and units to help and assure that patients referred for services are followed up in a timely and efficient manner.   
• Interacts with healthcare team members to answer any questions related to homecare/hospice and community-based services as they plan for patient discharges from the acute care setting.
• Coordinates care for clients going home from the hospital who have chosen the agency’s services.
• Reviews and gathers information from the hospital medical record, copying portions for transmission as needed.
• Documents initial assessment of homecare needs and potential plan for services in compliance with agency policy.
• Arrange service in accordance with the established admission criteria, client care needs and client preference.
• Obtains physician orders for initiation of homecare/hospice services in accordance with agency policy/procedure and third-party regulations.   
• Utilizes interview, observation, and evaluation in assessing clients and applies clinical judgment, consistent with practice standards, in determining appropriate home care services and making recommendations to the physician and client. 

Benefit Highlights

• Medical, dental, and vision coverage starting Day One 
• Short- and long-term disability 
• 403(b) retirement plan with employer match 
• Generous paid time off plus 7 paid holidays 
• Tuition reimbursement up to $5,250/year 
• Mileage Reimbursement
• Comprehensive onboarding and individualize orientation program 

Minimum Qualifications

• Bachelor’s degree or equivalent level of experience required.
• Graduate of an approved clinical education program and current clinical license in the state of employment preferred.
• Must have a minimum of two (2) years' experience in acute care setting, customer service, sale's/marketing role or relevant experience.
• Must have current Driver’s license and reliable transportation to and from work site. 
• Ability to consistently demonstrate a commitment to the mission and Organizational Code of Ethics and adhere to the Compliance Program.
• Well-developed oral and written communication skills.

About Trinity Health At Home – (Michigan)

Join one of America’s best home health agencies.

Trinity Health At Home is a national home care, hospice and palliative care organization serving communities across 11 states.

As a faith-based, not‑for‑profit agency, we are committed to caring for patients and families in the place where they feel most comfortable—at home. Our services include skilled nursing, physical, occupational and speech therapy and medical social work.

We are:

• Medicare‑Certified
• Joint Commission Accredited
• One of U.S. News Best Home Health Agencies 2026

Learn more at TrinityHealthAtHome.org/Michigan.

Ready to Apply?

Take the next step in your nursing career today.

Apply now and discover why nurses choose to start, grow and stay with us

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.