In-Home Geriatric Care Coordinator | PACE Travel

habitathealth.com; West Covina, Northern (CA, KY); Hybrid; USD 40,000 - 50,000; Full time

Job summary

Habitat Health is seeking a Home Care Coordinator to ensure personal and clinical homecare needs are delivered to help participants thrive. You will assess needs, develop care plans, and coordinate services to support safe, person-centered care in the home setting.

As an IDT member, you will collaborate with caregivers and family, evaluate care plans, and ensure alignment with goals. Travel to participant homes is required, with compensation including a base hourly rate and a 5% bonus potential.

Qualifications

• Minimum of two (2) years of clinical experience, preferably in home care, geriatrics, care coordination, primary care, or related healthcare setting.
• Knowledge of care planning, clinical assessments, and home care service delivery.
• Ability to conduct comprehensive participant assessments and identify changes in condition or care needs.
• Strong clinical judgment and critical thinking skills.
• Excellent interpersonal, communication, and collaboration skills.
• Ability to work effectively within an interdisciplinary team environment.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Proficiency with electronic health records and healthcare documentation systems.
• Valid driver's license, reliable transportation, and active auto insurance in accordance with state requirements.
• Demonstrates ability to use motivational interviewing, trust building techniques, and clear expectation setting to support acceptance of clinically appropriate homecare hours and care recommendations.

Responsibilities

• Exhibit and honor Habitat’s values.
• Conduct comprehensive in-home assessments to evaluate participant care needs, functional status, safety risks, and appropriateness of home care services
• Perform home safety evaluations and provide recommendations to promote participant independence and reduce risk
• Assess participants' ability to safely perform tasks and utilize adaptive equipment through observation and return demonstrations
• Collaborate with participants, caregivers, and family members to identify care needs and service gaps
• Participate as an active member of the Interdisciplinary Team (IDT) in developing, implementing, and updating participant care plans
• Partner with clinical and non-clinical team members, including rehabilitation, nutrition, and social services staff, to ensure a comprehensive understanding of participant needs
• Coordinate home care services to align with the participant's individualized care plan and goals Evaluate completed caregiver tasks and identify services that are frequently declined, missed, or not completed as planned
• Review weekly home care notes and documentation to identify service gaps, changes in participant condition, SDRs, grievances, and other concerns requiring follow-up or escalation to the appropriate team members.
• Maintain current and accurate authorizations for home care services, ensuring services are aligned with participant needs and payer requirements
• Monitor authorization status and coordinate renewals to prevent interruptions in service
• Maintain timely, accurate, and compliant documentation in electronic health records and operational systems
• Support quality improvement initiatives and compliance activities related to home care services
• Perform other related duties as assigned

Skills

Interdisciplinary teamwork

Communication skills

Clinical judgment

Organizational skills

EHR proficiency

Driver's license

Education

LVN license (state)

Job description

Habitat Health is seeking a Home Care Coordinator to ensure personal and clinical homecare needs are delivered to help participants thrive. You will assess needs, develop care plans, and coordinate services to support safe, person-centered care in the home setting.

As an IDT member, you will collaborate with caregivers and family, evaluate care plans, and ensure alignment with goals. Travel to participant homes is required, with compensation including a base hourly rate and a 5% bonus potential.