RN, Home Care Coordinator

Nascentia Health•Syracuse, NY

11d•Hybrid

About The Position

The Home Care Coordinator is responsible for developing home care plans for referred hospital, rehab, or skilled nursing facility (SNF) clients. This role acts as a vital bridge between Nascentia Health and healthcare facilities, balancing patient advocacy with company operational needs. HCCs manage the complete intake and referral pipeline�utilizing clinical expertise to ensure thorough chart preparation, facilitating case conferences, and conducting targeted bedside evaluations to secure safe, efficient transitions of care. And acting as a vital relationship manager and primary liaison between Nascentia Health and hospitals, rehabs, and/or SNFs.

Requirements

Current license to practice as a Registered Professional Nurse/ Medical Social Worker in New York State or degree in a health-related field.
Minimum one (1) year home health care experience preferred.
Sales experience a plus
Current New York State driver's license and automobile insurance required.
Excellent verbal communication skills required.

Responsibilities

Promote continuity of care for referred clients.
Assist in the development of a home care plan, including the arrangement of services, supplies, and appliances needed.
Review home care policies and procedures with clients/families, physicians, agency care providers, insurance providers, and service and equipment vendors as indicated.
Round daily in hospitals and facilities that allow regular floor access; for facilities that do not allow regular rounding, make every effort to see complex patients bedside once accepted and/or to facilitate acceptance.
Manage referrals strategically to ensure they serve the best interest of the patient, family, and referral source, while aligning with the needs, priorities, and capabilities of the company.
Promote quality assurance as it relates to home care planning.
Utilize clinical skillset to ensure charts and information are complete, thorough, and that all pieces needed for the Start of Care visit are present in the chart and attached documents.
Document home care eligibility per Nascentia Health policies and procedures and Department of Health guidelines.
Act as a resource and/or consultant to hospital or SNF staff regarding home health services.
Facilitate and participate in team conferences and case conferences when appropriate between client/family, physician, hospital staff, and home care agency staff.
Work closely with Referral Center RN Team Leader for support in maintaining referral expectations within the agency’s daily and future capacity projections.
Participate in agency committees.
Present teaching and education to patients, caregivers and providers about Nascentia Health Homecare, their mission and services available.
Perform all other duties as assigned.

Benefits

Eligible Site for the Nurse Corps Loan Repayment Program
Retention Bonuses
Internal Mentoring Program
401K with generous Employer match
On-Site Gym (free for all employees)
Excellent work/life balance (no rotating shifts, only 2 required holidays per year on a rotating schedule)
Medical, Dental, Vision plans
Tuition Reimbursement (BSN after only 6 months of employment!)
Partially funded HSA
Employee Recognition Platform
Paid Time Off, Holidays, Sick and Extended Sick Leave
Short/Long term Disability
Employee Assistance Program (EAP)