About The Position

Under the administrative direction of the Center Director, the Home Care Coordinator (HCC) oversees the day-to-day scheduling, quality, and documentation of the Home Care Services program. The HCC serves as the designated Interdisciplinary Team (IDT) member representing home care, per 42 CFR § 460.102, and directs and supervises caregivers and home care scheduler. HCC assists leadership in policy formation, program development, and implementation. HCC will be responsible for conducting home visits and home safety/care assessments and coordinates the plan of care in collaboration with the IDT. The HCC's routine home visits, assessments, and caregiver oversight are performed independently; any finding that requires clinical judgment beyond that scope is escalated to the on-site clinic RN for consultation. The HCC provides delegated home care services for participants and health education support for participants and caregivers, and acts as a liaison between K-Day PACE and contracted home health agencies.

Requirements

  • Active LVN license in good standing
  • CPR, AED, and First Aid Certification
  • Current driver’s license and proof of auto insurance
  • One year of experience with a frail or elderly population
  • Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.

Nice To Haves

  • Minimum of 2 years of skilled nursing experience in a home-based, community, or long-term care setting
  • Prior experience managing, directly or indirectly, Home Health Aides, CNAs, or caregivers in a home-based, community, or long-term care setting

Responsibilities

  • Demonstrate effective leadership in managing daily operations of the home care department and services.
  • Perform initial assessments of participants in their home environment to determine individual needs, assess current support systems, safety of the home environment, and need support services in the home in a timely manner.
  • Perform scheduled and unscheduled re-assessments to assess home care service needs and provision of services as planned.
  • Develop a home care plan of care in coordination with the Interdisciplinary Team and caregiving resources in the home (family, friends, etc.).
  • Participate in the development of the participant’s plan of care at scheduled plan of care meetings.
  • Maintain regular attendance at, and participate in, interdisciplinary team meetings, communicating participant changes, collaborating care planning decisions, and coordination of 24-hour care delivery.
  • Provide orientation, initial and annual competencies, supervise, and evaluate performance of caregivers and home care schedulers.
  • Assure that home care staff provide skilled supportive and restorative nursing care to participants as prescribed in the home care plan of care.
  • Assure that home care staff maintain participants’ medical records and fulfill charting and reporting requirements.
  • Assure that home health nursing staff provide education and training to participants and their families on an individual or group basis as needed.
  • Responsible for the coordination of home care services for all participants in the home.
  • Serve as a liaison between K-day PACE and contracted home health agencies.
  • Manage and prioritize utilization of homecare staffing needs to reflect enrollee homecare needs. Provide this information to the interdisciplinary team.
  • Ensure all contracted home health agency staff complete initial and annual competency testing and fulfill all CMS and K-day PACE training and personnel requirements.
  • Maintain utilization data for authorized home care services provided.
  • Participate in developing and organizing new staff orientation, training and on-going in-service training for home care staff and independent contractors.
  • Provide skilled nursing care in the home when needed.
  • Participate in the on-call process.
  • Follow all policies and procedures and OSHA safety guidelines.
  • Maintain the confidentiality of all company procedures and information about participants, clients or families according to HIPAA regulations.
  • Handle potentially infectious specimens with appropriate biohazard precautions and practice standard precautions.
  • Participate in and support Quality Improvement initiatives.
  • Participate in continuing education classes and any required staff and training meetings. Maintain professional affiliations and any required certifications.
  • Act only within the scope of his or her authority to practice.
  • Perform other duties as required or requested.
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