Patient Care Coordinator Home Health

UPMC Home Health is hiring a Patient Care Coordinator RN supporting Erie County This is a Monday through Friday, 8:00 AM to 4:30 PM position with rotating weekend shifts.

The Patient Care Coordinator is an on-site clinical team member that assists in coordinating care for the assigned team. The Patient Care Coordinator provides care navigation through daily triage and follow up with referral sources, patients, clinicians, and clinical leaders through the management of incoming communication to the Clinical Manager. 

Responsibilities:
 

• Participates in on-call coverage rotation for the agency.
• Oversees the ordering and approval of medical supplies to ensure that all supplies are included on the physician orders and ordered in the appropriate quantity.
• Monitors lab results, following up with physicians and team members.
• Covers from other Patient Care Coordinators when needed.
• Participate in interdisciplinary team conferences as needed.
• Performs medication reconciliation on all therapy only cases as needed
• Monitors admissions, discharges and re-hospitalizations and communicates with the appropriate clinical liaison(s) or facilities to facilitate continuity of care between settings.
• Aids clinical staff in follow up communication with MD offices and referral sources as applicable.
• Coordinates all incoming orders associated with census to ensure appropriateness and accuracy and timeliness of care, enters into Medical Record, and coordinates with scheduling as appropriate.
• Assists in document control processes, including but not limited to, review of Face-to-Face documentation and physician orders for home health. Reports problems immediately to the Clinical Manager.
• Triages and directors all incoming communications during workday hours for the current census assigned and follows up to facilitate appropriate service delivery.