In-Home Geriatric Care Coordinator (Travel Required)

Habitat Health; Compton (CA); On-site; USD 83,097,000 - 103,155,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with match

Paid time off

Company holidays

Job summary

Habitat Health in California seeks a Home Care Coordinator to ensure comprehensive in-home and clinical homecare services for participants enrolled in PACE. You will assess needs, develop care plans, and coordinate services to support safe, person-centered care in the home.

The role requires travel to participant homes, collaboration with an interdisciplinary team, and strong clinical judgment. Valid driver’s license and EHR proficiency are essential.

Qualifications

• Minimum of two (2) years of clinical experience 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 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 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.
• Review weekly home care notes and documentation to identify service gaps, changes in participant condition, SDRs, grievances, and other concerns requiring follow-up.
• 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

Clinical experience

Care coordination

Interdisciplinary teamwork

Assessment & care planning

Electronic health records

Valid driver's license

Communication skills

Organizational skills

Education

LVN license (preferred)

Tools

EHR software

Job description

Habitat Health in California seeks a Home Care Coordinator to ensure comprehensive in-home and clinical homecare services for participants enrolled in PACE. You will assess needs, develop care plans, and coordinate services to support safe, person-centered care in the home.

The role requires travel to participant homes, collaboration with an interdisciplinary team, and strong clinical judgment. Valid driver’s license and EHR proficiency are essential.