PACE Home Care Coordinator

Family HealthCare Network•Visalia, CA

4d•Hybrid

About The Position

Under the direct supervision of the Center Manager, the FHCN PACE Home Care Coordinator is responsible for the development and implementation of home care services for program participants, including the coordination of all Durable Medical Equipment (DME) and community-based care. This role involves assessing the home and personal care needs of the frail and elderly population, developing plans of care with the Interdisciplinary Team (IDT), and coordinating home care staff and DME provisions. The coordinator also supervises home care staff, provides training, and ensures adherence to home care standards and best practices. The position requires the ability to drive to community locations and residences for training and competency checks, and to present and work at any FHCN location as needed.

Requirements

Work independently and as an effective member of a team.
Work with and treat geriatric patients.
Work with IDT on determining home care needs and care planning, including frequency and discharge of home care plans.
Schedule and coordinate home care staff to adequately service participants’ home care needs.
Ability to assess ADL and IADL dependencies.
Communicate home care issues of participants to IDT in a timely manner.
Drive to participants’ homes on possibly a daily basis.
Only act within the scope of his/her authority to practice.
Meet a standardized set of competencies for the specific position description established by FHCN PACE and approved by regulatory agencies before working independently.
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
Pass a criminal background check.
Completes orientation competency profile prior to direct participant care.
At least 1 year with home or community health provider experience or equivalent experience.
Either have one year of experience working with a frail or elderly population or receive appropriate training from FHCN PACE upon hiring.
Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs, and other elements.
Ability to use Microsoft Excel to review and compile data, including the use of formulas, functions, lookup tables, and other standard spreadsheet elements.
Ability to create basic presentations in Microsoft PowerPoint.
Current nursing license, if applicable.
Valid CA driver’s license with a good driving record and an acceptable certificate of auto insurance.
Currently certified in cardiopulmonary resuscitation (CPR), or will be granted 30 days from the date of hire to schedule for the next available CPR certification class provided by FHCN.
Job duties require the compilation of information prepared in effective written form, including correspondence, reports, articles, or other documentation.
Effectively conveys technical information to non-technical audiences.

Nice To Haves

If CPR is not current, will be granted 30 days from the date of hire to schedule for the next available CPR certification class provided by FHCN.

Responsibilities

Develop and implement home care services for program participants.
Coordinate all Durable Medical Equipment (DME) and community-based care.
Assess the home and personal care needs of the frail and elderly population.
Identify and work with the Interdisciplinary Team (IDT) to develop specific plans of care.
Conduct initial and periodic assessments minimally every 6 months.
Receive reports from home care staff and communicate participant changes to IDT members in a timely manner.
Schedule and coordinate home care staff (contract and/or employed) for in-home care delivery and personal care services.
Coordinate all DME provisions in a home setting and work with IDT on DME authorization requests.
Coordinate 24-hour care delivery.
Document participant changes appropriately in medical records and communicate them to the IDT.
Supervise home care staff based in the community.
Assist with competencies of home care aides.
Provide orientation, in-service training, and continuing education for designated staff.
Stay up-to-date on home care standards and best practices.
Drive to community locations and residences to provide on-site training and competency checks of home care staff.
Provide effective leadership by coordinating and integrating services within the department, with other departments, and with the IDT’s primary functions.
Participate as a member of the IDT.
Attend staff meetings and take part in participant care planning.
Adhere to the Attendance and Absenteeism Policy.
Present to and work at any FHCN location based on business need.
Complete other projects and duties as assigned.