Care Coordinator at Optima Care Home Health Services Inc – Ontario, California

Job Summary: Every time a patient is referred and admitted into the Agency, a specific discipline or combination of disciplines are involved in the care of this patient. It is the responsibility of the Care Coordinator to maintain and update the calendar of services for each patient through the coordination with the clinical supervisor and/or the Director of Patient Care Services/Designee. Care Coordinator plays a vital role in maintaining a current calendar of services for each discipline involved in each case. This calendar of services are needed to determine if all recommended visits are done for each discipline for purposes of being in compliance with the orders.

Reports to: Director of Patient Care Services (DPCS)

Essential Functions:
1. Assigns all required clinicians to an admitted patient.
2. Responsible in making contact and confirming with patient prior to sending out home health personnel.
3. Plots visit schedule for clinicians.
4. Coordinates and schedules labs, IVs, recertification, case conferences and supervisory visits with Clinicians and DPCS/Designee.
5. Reminds each Clinician to bring medical supplies for patient visits.
6. Coordinates visit frequencies with DPCS/Designee for Plan of Care and 485
7. In-charge status of referrals as admitted patient in the Agency software after patient’s admission.
8. Verbally informs clinicians about the patient care and MD order. Refers clinicians to DPCS/Designee for further clinical guidance.
9. Verifies visits have been completed for the day for all patients and clinicians. All missed visits are reported to the DPCS/Designee.
10. Updates/maintains admissions log daily.
11. Verifies eligibility monthly on all prospective patient inquiries/admissions to the Agency.
12. Coordinates with DPCS/Designee on admission status of patient inquiry.
13. Coordinates all Nursing/Rehabilitation staffing and patient needs. a. Notify all involved assigned personnel. b. Upload all nursing and rehab documentations into Agency database system.
14. Assists Intake Coordinator in the Input/downloading of all pertinent patient information into the Agency database system.
15. Responsible in receiving verbal/telephone reports from medical personnel.
16. Requests for additional authorization for services from insurance company and/or pharmacy as necessary after patient admission
17. Initiates and updates compliance procedure for each patient admission.
18. Responsible in keeping track of Nursing/Rehab staff availability.
19. Responsible in keeping track of all nursing points.
20. Coordinates with all clinical staffs. a. Faxes all laboratory results to MD/Pharmacy. b. Uploads all clinical documents into Agency clinical database system. c. Responsible in preparing needed medical supplies.
21. Responsible in keeping track of all supervisory visits. a. Physical Therapy Assistant (PTA) b. Certified Occupational Therapy Assistant (COTA) c. Licensed Vocational Nurse (LVN) d. Certified Home Health Aide (CHHA)
22. Responsible in maintaining an updated census count daily.
23. Responsible in checking for compliance of Plan of Care.
24. Stays abreast of trends which may affect Agency regulations.
25. Receives and follows work schedule/instructions from your supervisor and as outlined in our established policies and procedures.
26. Maintains HIPAA confidentiality of all pertinent patient information to assure patient’s rights are protected.
27. Reports all unsafe/hazardous conditions, defective equipment, etc., to your immediate supervisor.
28. Prepares weekly Key Performance Indicator (KPI) report for Care Coordinator.
29. Assists in answering incoming calls to the office and transferring calls to the appropriate person.
30. Other related duties and responsibilities that may become necessary or appropriate to meet the administrative needs of the agency.

Knowledge Skills and Abilities:

Minimum Education (or substitute experience) required: Must possess, as a minimum, a high school diploma or equivalent (GED).

Minimum Experience required: On-the-job training provided in staffing procedure. Experience in coordinating pre and post hospital care preferred.

Skills Required: Strong multitasking, communication, telephone skills, organizational and interpersonal skills with sensitivity toward Medicare population required. Computer skills required both clinical and clerical programs. Must be able to type at minimum 45 words per minute and have a working knowledge on medical terminology. Possession of strong organizational skills. Excellent verbal and written communications skills. Possess exceptional interpersonal communication skills. Attention to detail. Ability to work independently on assigned tasks as well as accept direction on given assignments

Essential Physical Tasks: Work at computer monitors for prolonged periods must guard against eyestrain and muscle pain.