Patient Scheduling and Care Coordinator - LPN

HCR Home Care•Rochester, NY

About The Position

The Patient Scheduling and Care Coordinator is an LPN who schedules patient visits and assists with care coordination and tasks needed to operate clinical services. The role maintains HomeCare HomeBase (HCHB) tasks and reports, follows applicable standard operating procedures and policies, and participates in communication and discharge planning for transitions between acute care and home care. The coordinator manages referrals and works with hospitals and other partners to help arrange safe home care services in accordance with physician direction, prevent rehospitalization, and build positive relationships with referral sources. The position combines Home Care Coordinator responsibilities with Patient Scheduling Coordinator duties. It includes assessing patient and family needs, coordinating transition information and follow-up, developing initial care plans, and documenting referrals. It also involves scheduling services across clinical disciplines, maintaining schedules and case-manager assignments in HCHB, handling workflow and reports, communicating with field staff and physicians, and responding to clinical questions within LPN scope. The role is primarily office-based, may involve outdoor exposure, and is classified as sedentary work.

Requirements

  • Successful completion of an approved practical nursing program.
  • High school diploma or GED.
  • Current, valid LPN license issued by the New York State Department of Education.
  • Two years of experience in community health/home care, a hospital, or equivalent Home Care Coordinator work.
  • Discretion in handling confidential and sensitive information to maintain HIPAA compliance.
  • Proficiency with home care staffing and scheduling requirements.
  • Proficiency with computer systems and working knowledge of Microsoft Office, Microsoft Teams, the internet, EMR, and various software applications.
  • Excellent interpersonal communication skills and strong written and verbal communication skills.
  • Ability to interact well with a diverse range of individuals.
  • Organizational skills and ability to handle multiple projects simultaneously with frequent interruptions.

Responsibilities

  • Cultivate relationships with physicians and hospitals to identify appropriate home care solutions.
  • Assess physical, psychosocial, and anticipated environmental needs; interview patients and their families or designated backups.
  • Communicate with primary care providers to support safe transitions home and arrange follow-up appointments within seven days of hospital discharge.
  • Obtain hospital discharge instructions to support medication reconciliation with the physician.
  • Collaborate with acute-care interdisciplinary teams to facilitate referrals and timely sharing of patient information during transitions.
  • Document referral information accurately and promptly in HomeCare HomeBase (HCHB), and maintain HCHB tasks and reports in current status.
  • Develop an initial plan of care for each patient and identify qualifications and initial home care needs.
  • Obtain insurance authorization and verify that the physician will sign home care orders.
  • Document according to facility and agency regulatory guidelines.
  • Coordinate with fellow Home Care Coordinators, agencies, internal business partners, and other HCR departments to establish safe and effective care plans.
  • Assist coworkers as needed, adapting to patient-volume changes and vacation coverage, and use effective problem-solving techniques.
  • Attend required meetings, in-services, and functions; participate in professional development and self- and peer evaluation.
  • Conduct education activities with physicians and hospitals, use outreach tools to communicate with referral sources, and work with community outreach staff as needed.
  • Remain knowledgeable about HCR programs and services, including specialty programs; communicate an understanding of reimbursement issues and their relationship to home care; and meet agency referral metrics.
  • Check voicemail and email regularly and respond to messages promptly.
  • Schedule all ordered disciplines, including skilled nursing, physical therapy, occupational therapy, speech therapy, registered dietitian, social work, home health aide, and personal care aide.
  • Complete scheduling in HCHB, maintain case-manager assignments for active patients, and update records and computer programs as appropriate.
  • Reassign patients in the computer database when clinicians report illness and direct field staff regarding schedules, productivity requirements, visit completion, and the Not Home Not Found Protocol.
  • Receive calls from field staff during designated busy periods and refer clinical questions to the Regional Director or DPS as necessary.
  • Complete HCHB tasks and coordination notes on the day they enter workflow and assign requested visits according to agency guidelines; after-hours workflow is handled as described in the posting.
  • Ensure Hospital Hold and Missed Visit procedures are followed.
  • Run Scheduling Request, Agency Summary, Agent Summary, and Client Schedule reports at the stated intervals; follow up on report findings and provide the Agent Summary Report to the Regional Director or DPS daily.
  • Follow up with contract agencies as applicable regarding HHA/PCA visits unverified for more than 30 days.
  • Assist with internal patient transfers between branch offices.
  • Potentially serve on at least two agency-wide committees per year.
  • Adhere to the agency's HIPAA/Privacy Program, Employee Compliance Program, policies and procedures, and Employee Handbook guidelines.
  • Enter verbal orders received by phone and Hospital Hold Orders; notify physicians of visit changes as needed.
  • Handle clinical patient questions within the scope of LPN practice.
  • Perform other duties as assigned.
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