JOB DESCRIPTION SUMMARY
The Care Coordinator Manager is responsible for overseeing the coordination and quality of home care services. This role ensures that care provided by clinicians adheres to CMS guidelines, state regulations, and organizational policies while facilitating a collaborative environment among healthcare providers. The Care Coordinator Manager will leverage nursing expertise to evaluate patient care plans, manage compliance, and address critical issues that arise during patient care delivery.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
· Patient Well-being Monitoring: Oversee the patient’s health and care during the entire home health service period.
· Case Review & Evaluation: Review and evaluate assigned cases by examining services provided, conducting conferences, and performing record reviews to ensure quality care delivery.
· Care Coordination: Collaborate with clinicians, family caregivers, and primary physicians to support and maintain quality care. Assist clinicians during operating hours as needed.
· Clinical Documentation: Review patient diagnoses, medications, procedures, and clinical course, ensuring all care activities are properly documented.
· Case Conferences: Attend case conferences to facilitate coordination of care among the healthcare team and ensure effective communication.
· Customer Service Orientation: Promote a customer service focus within the organization to improve patient and family satisfaction.
· Record Review & Compliance: Assist with quarterly record reviews, share findings with the Administrator, and ensure compliance with professional standards and principles.
· Staffing Oversight: Ensure clinician visits are scheduled and completed within appropriate timeframes.
· Care Correspondence Management: Ensure timely communication of patient updates, visit schedules, physician orders, laboratory results, medical supplies, DME, and other relevant information to team members.
· MD Orders & Documentation: Collaborate with the Clinical Care or Medical Records team to ensure timely submission of physician orders, missed visits, POCs, and other documentation.
· Community Resources Coordination: Oversee the fulfillment of community resources such as social services, medical supplies, and caregiver needs for patients.
· Discharge Planning: Manage the discharge planning process to ensure smooth transitions of care.
QUALIFICATIONS
· Bachelor’s degree in Nursing, Healthcare Administration, Social Work, or a related field; advanced degree preferred.
· Valid nursing license (registered nurse preferred).
· Previous experience in care coordination or case management in a home health or clinical setting.
· Proficiency in Google Workspace (Docs, Sheets, Gmail).
· Comprehensive knowledge of CMS guidelines and state regulations for home health care.
· Knowledge of Medicare guidelines and home health regulations.
· Proven ability to manage case compliance and ensure quality care delivery.
· Experience in home care or healthcare management is preferred.
JOB DESCRIPTION SUMMARY
The Care Coordinator Manager is responsible for overseeing the coordination and quality of home care services. This role ensures that care provided by clinicians adheres to CMS guidelines, state regulations, and organizational policies while facilitating a collaborative environment among healthcare providers. The Care Coordinator Manager will leverage nursing expertise to evaluate patient care plans, manage compliance, and address critical issues that arise during patient care delivery.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
· Patient Well-being Monitoring: Oversee the patient’s health and care during the entire home health service period.
· Case Review & Evaluation: Review and evaluate assigned cases by examining services provided, conducting conferences, and performing record reviews to ensure quality care delivery.
· Care Coordination: Collaborate with clinicians, family caregivers, and primary physicians to support and maintain quality care. Assist clinicians during operating hours as needed.
· Clinical Documentation: Review patient diagnoses, medications, procedures, and clinical course, ensuring all care activities are properly documented.
· Case Conferences: Attend case conferences to facilitate coordination of care among the healthcare team and ensure effective communication.
· Customer Service Orientation: Promote a customer service focus within the organization to improve patient and family satisfaction.
· Record Review & Compliance: Assist with quarterly record reviews, share findings with the Administrator, and ensure compliance with professional standards and principles.
· Staffing Oversight: Ensure clinician visits are scheduled and completed within appropriate timeframes.
· Care Correspondence Management: Ensure timely communication of patient updates, visit schedules, physician orders, laboratory results, medical supplies, DME, and other relevant information to team members.
· MD Orders & Documentation: Collaborate with the Clinical Care or Medical Records team to ensure timely submission of physician orders, missed visits, POCs, and other documentation.
· Community Resources Coordination: Oversee the fulfillment of community resources such as social services, medical supplies, and caregiver needs for patients.
· Discharge Planning: Manage the discharge planning process to ensure smooth transitions of care.
QUALIFICATIONS
· Bachelor’s degree in Nursing, Healthcare Administration, Social Work, or a related field; advanced degree preferred.
· Valid nursing license (registered nurse preferred).
· Previous experience in care coordination or case management in a home health or clinical setting.
· Proficiency in Google Workspace (Docs, Sheets, Gmail).
· Comprehensive knowledge of CMS guidelines and state regulations for home health care.
· Knowledge of Medicare guidelines and home health regulations.
· Proven ability to manage case compliance and ensure quality care delivery.
· Experience in home care or healthcare management is preferred.