PACE Home Care Coordinator

TALENT Software Services; San Diego (CA); On-site; USD 42,000 - 64,000; Full time

Job summary

TALENT Software Services in San Diego is seeking a Home Care Coordinator to support the Home Care Coordination team. You will conduct home safety evaluations and coordinate meals, caregiver services, and DME while advocating for participants’ preferences in person-centered care.

You will collaborate with families and the interdisciplinary team, document progress in EMRs, monitor service delivery, and assist in adjusting care plans in compliance with regulatory guidelines.

Qualifications

• Must possess Home Health Aide and CNA certificates.
• CPR and First Aid certification required.
• Ability to coordinate and evaluate services within Home Health Aide scope.
• Must communicate clearly and function well in a team environment.

Responsibilities

• Coordinate IDT-approved meal delivery to client homes.
• Coordinate IDT-approved Durable Medical Equipment and incontinence supply delivery to client homes.
• Coordinate IDT-approved caregiver services for participants.
• Complete the Home Care Coordination care plan at enrollment and semi-annually thereafter.
• Conduct pre-enrollment, annual, semi-annual, and change of address home safety evaluations.
• Document and track actions, services, and service delivery status updates in designated logs and EMR.
• Communicate regularly with participants, families, and other healthcare providers to ensure coordinated care delivery.
• Advocate for participants' healthcare needs and preferences, ensuring care is person-centered.

Skills

Communication

Teamwork

Care coordination

Education

Home Health Aide certificate

CNA certificate

CPR & First Aid (AHA) certification

Tools

Outlook

Excel

Job description

Position Summary

As a collaborative member of the interdisciplinary team (IDT), and under the supervision of the Home Care Coordination RN Manager, the Home Care Coordinator provides foundational support to the Home Care Coordination team. This role conducts home safety evaluations and coordinates and monitors IDT-approved services, such as the delivery of meals, caregiver services, and durable medical equipment (DME) for participants. The coordinator is an advocate for participants' healthcare needs and preferences, ensuring that care is delivered in a person-centered and compassionate manner. They work closely with participants, their families, and the interdisciplinary team to ensure that all aspects of unskilled home-based care are coordinated and aligned with the participants' goals and preferences. They liaise with caregiver agencies, DME suppliers, and others to coordinate schedules, monitor the delivery and quality of services/care provided, and make recommendations for adjustments to care plans as needed.

Essential Functions

• Coordinate IDT-approved meal delivery to client homes.
• Coordinate IDT-approved Durable Medical Equipment and incontinence supply delivery to client homes.
• Coordinate IDT-approved caregiver services for participants.
• Complete the Home Care Coordination care plan at enrollment and semi-annually thereafter.
• Conduct pre-enrollment, annual, semi-annual, and change of address home safety evaluations.
• Document and track actions, services, and service delivery status updates in designated logs and participant electronic medical records (EMR) in accordance with clinical and regulatory guidelines.
• Review progress notes and documentation of the delivery of services, informing the IDT of any gaps in service for reconciliation.
• Upload progress notes, reports, and care/vendor-related documentation to the EMR.
• Communicate regularly with participants, their families, and other healthcare providers to ensure coordinated care delivery.
• Advocate for participants' healthcare needs and preferences, ensuring that care is delivered in a person-centered and compassionate manner.
• Provide support to nurses in the coordination and delivery of meals, DME, caregiver services, etc.
• Collaborate with interdisciplinary team members, including physicians, social workers, therapists, and other healthcare professionals, to ensure coordinated care for participants.
• Adhere to infectious disease precautions to prevent the spread of organisms.
• Attend center staff meetings and in-service educational training programs.
• Assist Home Care Coordination RNs as requested.
• Conduct and document monthly visits for homebound and RCFE participants.
• Conduct home visits as needed.
• Assist participants with surveys.
• Deliver supplies, equipment, grocery bags, and any other items as requested/needed.
• Generate and maintain reports of services provided for the participants.

Additional Duties And Responsibilities

• Communicate and work effectively with participants and co-workers.
• Participate in interdisciplinary team meetings as needed.
• Adhere to attendance and punctuality policies and practices.
• Follow established departmental and position-specific policies and procedures.
• Attend meetings as required and participate in committees as directed.
• Maintain health and safety standards and take an active role in the Safety and Injury Prevention in the Workplace Program; maintain all records and documentation as required.
• Perform other related duties as assigned or requested.

Minimum Qualifications

• Must possess a Home Health Aide certificate and CNA certificate.
• Must possess the skills necessary to coordinate and evaluate services for geriatric participants.
• Must have a firm understanding of the Home Health Aide scope of practice and operate only within scope.
• Must be able to communicate clearly and function well in a team environment.

Job Requirements

• Must have CNA and Home Health Aide certificate (HHA).
• Must have CPR and First Aid certification from the American Heart Association.
• One year experience with the frail or elderly population.
• Valid Driver's License.
• Basic computer skills, Microsoft Outlook, and Excel.

Working Conditions and Physical Requirements

• Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, and pre-employment PPDs.
• Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Compliance and Training

• Maintain privacy of all patients, employee, and volunteer information and access such information only on a need-to-know basis for business purposes.
• Comply with all regulations regarding corporate integrity and security obligations.
• Report unethical, fraudulent, or unlawful behavior or activity.
• Comply with all regulations and required schedules regarding OSHA training.
• Required health screening to be performed annually.
• Responsible for following all policies and procedures.
• Punch out before 5 hours from the start of shift for meal periods (Non-exempt employees only).
• Comply with all regulations and required schedules regarding sexual harassment training.
• Customer Service Training.