Community Care Coordinator

Major Areas of Responsibility

• 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.

Hard & Soft 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.

Requirements

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