Care Integration Manager, Hospice

BAYADA Home Health Care•Horsham, PA

4h•Hybrid

About The Position

BAYADA Home Health Care is currently seeking a Care Integration Manager to support our hospice team in Horsham, PA. Care Integration Managers will manage, and support the transition of complex, chronically ill clients between BAYADA Home Health and Hospice practices, using data to proactively advocate for and coordinate the utilization of the most appropriate benefit at the right time. This is a hybrid position, with weekly travel to Horsham, PA and travel through Bucks, Montgomery and Philadelphia counties, as-needed. BAYADA believes that our employees are our greatest asset: BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program Established in 1975, BAYADA is a non-profit organization that has never been sold, caring for an average of 44,000 clients weekly with 31,500 employees onboard. BAYADA is serving clients in 21 states, 373 offices, 6 countries and growing!!! As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Requirements

Four (4) year college degree.
Five (5) years’ experience in nursing, social work, care coordination, and care integration in a relative specialty (home health, hospice, etc.)
Excellent verbal and written communication skills.
Ability to work seamlessly across settings and practice lines in a highly matrixed local environment.
Demonstrated record of strong interpersonal and organizational skills
Competence in basic PC skills required to perform job functions. (Word, Excel, SharePoint, Outlook)
Ability to read, write and effectively communicate in English.

Responsibilities

Develop working knowledge of BAYADA’s mission, services, people, organization, policies and procedures.
Develop a yearly care integration plan and set strategic quarterly goals.
Interact with referral sources to facilitate transition of BAYADA clients across the continuum of care and foster positive long-term relationships to represent BAYADA as the preferred home health/hospice provider for complex, chronically ill patients in late life.
In collaboration with the client's physician, educate and engage prospective clients and their families about hospice and prepare them for the transition to end-of-life care.
Promote effective care coordination between BAYADA Home Health and Hospice and communicate clinical status and staffing needs to each service office.
Manage routine Care Integration touchpoints utilizing the Care Integration Dashboard to proactively identify Hospice needs.
Collaborate with Directors in achieving cross-practice referral goals.
Perform related duties, or as required or requested by supervisor.
Coordinate referral documentation, face-to-face program explanations, and in-services needed for Hospice admission or Home Health referral.
Perform cross-practice educational in-services and updates for Home Health and Hospice field and office staff