Home Health Care Coordinator

Position Summary

The Care Coordinator is responsible for coordinating, monitoring, and supporting all aspects of patient care within Divine Hands Home Health LLC. This position serves as the primary liaison between clinicians, physicians, patients, and caregivers to ensure the delivery of safe, high-quality, and compliant home health services. The Care Coordinator ensures adherence to CHAP Standards, CMS Conditions of Participation promoting seamless care transitions, optimal outcomes, and regulatory compliance.

Essential Job Duties

• Coordinate all aspects of patient care from referral through discharge to ensure continuity and quality of care.
• Review new referrals, assign appropriate clinicians, and verify completion of admission and start-of-care within regulatory timelines.
• Monitor visit frequencies, clinical documentation, and care plans to ensure compliance with physician orders and regulatory standards.
• Collaborate with the Director of Clinical Services, field staff, and administrative team to ensure efficient communication and patient care delivery.
• Communicate with physicians, patients, and families regarding care coordination, changes in condition, or medication adjustments.
• Review and track Non-OASIS, Plans of Care, and clinical notes for accuracy, timeliness, and completeness.
• Assist in coordinating interdisciplinary team (IDT) meetings and ensuring updates are shared across all disciplines.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities and clinical audits.
• Provide education, guidance, and support to field staff on care coordination, documentation, and compliance requirements.
• Track hospitalizations, emergency room visits, and readmissions to ensure timely follow-up and prevent recurrence.
• Support onboarding and training of new clinical staff.
• Maintain HIPAA compliance and uphold patient confidentiality at all times.

Education and experience

* Education: A bachelor's degree in a related field is often preferred, such as nursing, social work, healthcare administration, or public health. Some positions may accept an associate's degree with more years of experience.

* Experience: A minimum of 2-3 years of experience in home care or a related healthcare setting is typically required.

* Licensure: Some roles may require a specific license, such as a Registered Nurse (RN) or Licensed Practical Nurse (LPN).

Skills and abilities

* Communication: Excellent written and verbal communication skills are essential for interacting with clients, families, and healthcare providers.

* Organization: The ability to manage multiple tasks, prioritize effectively, and stay organized is crucial.

* Problem-solving: Strong problem-solving and critical-thinking skills are necessary to handle complex situations that arise.

* Computer proficiency: Skill in using computer software, including Microsoft Office Suite and specific scheduling or EMR systems, is required.

* Interpersonal skills: The ability to build and maintain strong relationships with clients and their families is a key requirement.

Knowledge

* Homecare regulations: A solid understanding of home care regulations and best practices is necessary to ensure compliance.

* Healthcare systems: Familiarity with the healthcare system and other related services is often expected

Supervision

• Reports to: Director of Clinical Services / Administrator
• Supervises: Field clinicians as delegated (RNs, LPNs, Therapists, and HHAs for coordination purposes)

Physical Requirements

• Ability to travel to patient homes, physician offices, and agency meetings as required.
• Must be able to sit, stand, or walk for extended periods and occasionally lift up to 25 lbs.

Job Types: Full-time, Part-time, PRN, Temporary, Seasonal

Projected Total Compensation: $20.00 - $30.00 per hour

Benefits:

• 401(k)
• Continuing education credits

Work Location: Hybrid remote in Sykesville, MD 21784

Salary : $20 - $30