PACE Home Care Coordinator

Family HealthCare Network•Visalia, CA

10h•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. This includes the coordination of all Durable Medical Equipment (DME) and community-based care. The role involves assessing the home and personal care needs of the frail and elderly population, identifying needs with the Interdisciplinary Team (IDT), and developing specific plans of care. The coordinator will receive reports from home care staff, communicate participant changes to the IDT, and schedule/coordinate home care staff for in-home care delivery and personal care services. They will also coordinate all DME provisions, work with the IDT on DME authorization requests, and coordinate 24-hour care delivery. Documentation of participant changes in medical records and timely communication with the IDT are crucial. The position requires supervising community-based home care staff, assisting with their competencies, providing orientation, in-service training, and continuing education. Keeping up-to-date on home care standards and best practices is essential. The role involves driving to community locations and residences for on-site training and competency checks. The Home Care Coordinator provides effective leadership by coordinating and integrating services within the department, with other departments, and with the IDT’s primary functions. They participate as a member of the IDT, attend staff meetings, and take part in participant care planning. Other projects and duties as assigned.

Requirements

Possesses work-related skills at a higher level than completion of high school, including formal written and verbal communications skills, computational and computer skills, mathematical, and technical skills.
Proof of completion of high school with a minimum overall GPA of 2.5 or completion of General Educational Development (GED) with a minimum overall score of 162.5 and health care related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma or Bachelor’s degree.
Minimum of two years of experience with a home health or community health provider, or equivalent experience.
Ability to work independently and collaboratively as an effective member of a team, while acting only within the authorized scope of practice.
Experience providing care to geriatric participants, including assessing Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
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.
Ability to effectively convey technical information to non-technical audiences.
Ability to sit for extended periods of time, as well as work at the computer for long periods.
Ability to use hands and fingers, especially for typing on the computer and using the mouse.
Ability to talk and listen, particularly for phone communications.
Must have one year of experience working with a frail or elderly population or, in the absence of such experience, complete appropriate training provided by FHCN PACE upon hire.

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 and prior to scheduled team meetings.
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 the IDT on DME authorization requests.
Coordinate 24-hour care delivery.
Document participant changes appropriately in medical records and communicate them to the IDT in a timely manner.
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.
Complete all required orientation and competency profiles.
Meet standardized position-specific competencies established by FHCN PACE and approved by regulatory agencies prior to providing independent participant care.
Obtain and maintain medical clearance for communicable diseases and ensure all required immunizations are up to date before engaging in direct participant contact.
Successfully pass a criminal background check.
Provide care to geriatric participants, including assessing Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
Collaborate with the Interdisciplinary Team (IDT) to determine home care needs, care planning, service frequency, and discharge.
Communicate participant home care issues to the IDT in a timely manner.
Schedule and coordinate home care staff to adequately meet participants’ home care needs.
Travel to participants’ homes as required, potentially on a daily basis.