Community Care Coordinator

About the role

At our agency, we care for patients where they spend the majority of their time – in their homes. This privileged position allows us to see things that are invisible to a patient’s primary care or hospital physician, and to deliver the best possible care tailored to each patient’s setting. As a Community Care Coordinator (CCC), the work you do every day makes a difference in the lives of our patients by providing patient healthcare coordination services, while nurturing relationships with referral sources.

Schedule

Monday through Friday, 8:15am - 5:00pm

Responsibilities

• Transition patients to the homecare setting.
• Attend discharge/multidisciplinary rounds in acute care, ambulatory, and other settings within the health system to share expertise and assist the patient in transition of care.

Major Areas of Responsibility

• Operations: Identify future patients and determine home care eligibility. Review patient insurance and medical documentation. Increase awareness of services offered.
• Discharge Planning: Assist hospital/facility personnel in the discharge planning process.
• Coordination of Care: Coordinate health care services as ordered by the attending physician and ensure coordination of all ancillary services following patient discharge.
• Customer Service: Function as a resource for your patients. Service account(s) to maintain facility relationships. Promote well-being of patients as a part of the facility team(s).
• Policies: Review and complete all clinical documentation following agency protocol and Medicare/Federal guidelines.
• Collaboration: Participate in care integration meetings. Build and maintain lasting positive relationships with patients/clients, facility/hospital personnel, physicians, and any other team members. Notify the referring facility manager before contacting patients.

Requirements

• Associates degree with a minimum of two years’ experience; or a combination thereof.
• Preferred license in the state of services as a Registered Nurse (RN), Licensed Practical Nurse (LPN), Physical Therapist (PT), Physical Therapist Assistant (PTA), or Licensed Social Worker (LSW).
• Valid driver's license and auto insurance in your name as a driver.
• Capable of all physical demands.

Skills

• Effective and compassionate communicator with a positive attitude.
• Problem solver with the ability to handle situations that will provide the best possible outcome.
• Attention to detail is critical, as is being observant and following directions.

Benefits

• Medical, dental, and vision insurance with flexibility to select what works best for you.
• Paid time off for eligible teammates.
• 401K participation with company matching contributions.
• Company-paid life and disability insurance.
• Robust Employee Assistance Program.