Home Care Planner

MJHS; Teaneck Township (NJ); On-site; USD 90,000 - 110,000; Full time

Job summary

MJHS Home Care is seeking a Home Care Planner to evaluate and establish care plans for home health referrals within a nonprofit health system in the Greater New York area. The role partners with physicians, social workers, and discharge planners to coordinate admissions and ensure high-quality home-based care.

The ideal candidate will hold an RN license (NYS) with an associate degree in nursing, prefer a BSN, and have at least two years of home care nursing experience, plus strong communication

Qualifications

• Current NYS RN license and registration.
• Associates degree in nursing required; Bachelor’s degree preferred.
• Minimum of two years’ home care nursing experience with assessment and interview skills.
• Client-service focused with excellent written and verbal communication.
• Strong critical thinking and problem solving; able to work independently.

Responsibilities

• Meets the established Monthly Admission Targeted Goals.
• Delivers exceptional customer service while sustaining established business relationships and actively cultivating new ones.
• Responds to referrals promptly and coordinates plan of care with patient, physician and interdisciplinary health care team.
• Establishes a plan of care (POC) in collaboration with patient, physician and care team.
• Coordinates with discharge planning staff to identify and resolve barriers to home transition.
• Ensures CMS Home Health Face-to-Face documentation is located in patient records as required.
• Identifies referrals for MJHS services (Home First, Palliative Care, Hospice) as applicable.
• Maintains accurate documentation reflecting Joint Commission and regulatory standards under supervision.

Skills

RN license

Patient assessment

Interviews

Client-service orientation

Written communication

Verbal communication

Independent work

Education

Nursing associate degree

Bachelor’s degree in nursing preferred

Job description

$15,000 Sign-On Bonus or Student Loan Assistance!

MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.

MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home.

The Home Care Planner is responsible for evaluating and establishing a plan of care for patients referred for home health services. The Home Care Planner will facilitate admission of referrals upon discharge from the hospital to a home care program that meets the needs of the patient and family members. As a key member of the business development and marketing team the Home Care Planner develops and maintains positive relationships with physicians, social workers, case managers and discharge planners within the medical center.

• Meets the established Monthly Admission Targeted Goals
• Delivers exceptional customer service while sustaining established business relationships and
  actively cultivating new ones
• Demonstrates flexibility within the role to effectively support the agency’s overall business objectives and goals
• Responds to the referral source (e.g. physician, social worker, case manager) in a timely manner
  when given a patient referral
• Establishes a plan of care (POC) in collaboration with patient, physician and member of
  interdisciplinary health care team and arranges for all needed services
• Works in conjunction and maintains consistent communication with discharge planning staff to
  identify problems that may impede the transition of the patient to home and assists with resolution as needed
• Communicates agency admission criteria, reimbursement criteria and policies to patient/caregiver,
  members of the interdisciplinary health care team and other personnel as indicated
• Evaluates referral needs that may align with additional MJHS products and services (Homefirst,
  Palliative Care, Hospice)
• To identify and assess referrals received for the various MJHC clinical service programs (e.g. Heart
  Failure, COPD, Road to Recovery, Community Based Palliative Care) as deemed applicable
• To identify and assess that the Home Health Face-to-Face documentation as mandated by the
  Centers for Medicare and Medicaid Services (CMS) are located in all Medicare patient’s medical record
• Meets assigned e-learning and annual health assessment deadlinesMaintains clear, legible documentation that reflects adherence to Joint Commission standards,
  local, state and federal regulations and third party payer requirements in hospital and agency records; under the
  direct supervision of a HCP Manager and/or Director of Business Development

• Current NYS RN license and registration
• Associates degree in nursing required; Bachelor’s degree in nursing preferred
• Must have a minimum of two years experience in home care nursing with proficiency in physical assessment and interviewing skills
• Must be client-service focused with excellent written and verbal communication skills
• Good critical thinking and problem solving skills plus the ability to work independently is essential