Home Care Coordinator

About the role

Habitat Health is seeking a Home Care Coordinator to join our dynamic team. This role is integral to our mission of providing comprehensive care to older adults in their homes and communities.

Responsibilities

• Conduct comprehensive in-home assessments to evaluate participant care needs, functional status, safety risks, and appropriateness of home care services
• Perform home safety evaluations and provide recommendations to promote participant independence and reduce risk
• Assess participants' ability to safely perform tasks and utilize adaptive equipment through observation and return demonstrations
• Collaborate with participants, caregivers, and family members to identify care needs and service gaps
• Participate as an active member of the Interdisciplinary Team (IDT) in developing, implementing, and updating participant care plans
• Partner with clinical and non-clinical team members, including rehabilitation, nutrition, and social services staff, to ensure a comprehensive understanding of participant needs
• Coordinate home care services to align with the participant's individualized care plan and goals
• Evaluate completed caregiver tasks and identify services that are frequently declined, missed, or not completed as planned
• Review weekly home care notes and documentation to identify service gaps, changes in participant condition, Service Determination Requests (SDRs), grievances, and other concerns requiring follow-up or escalation to the appropriate team members
• Maintain current and accurate authorizations for home care services, ensuring services are aligned with participant needs and payer requirements
• Monitor authorization status and coordinate renewals to prevent interruptions in service
• Maintain timely, accurate, and compliant documentation in electronic health records and operational systems
• Support quality improvement initiatives and compliance activities related to home care services
• Perform other related duties as assigned

Qualifications

• Active Licensed Vocational Nurse (LVN) license in the applicable state
• Minimum of two (2) years of clinical experience, preferably in home care, geriatrics, care coordination, primary care, or a related healthcare setting
• Knowledge of care planning, clinical assessments, and home care service delivery
• Strong clinical judgment and critical thinking skills
• Excellent interpersonal, communication, and collaboration skills
• Ability to work effectively within an interdisciplinary team environment
• Strong organizational skills with the ability to manage multiple priorities and deadlines
• Proficiency with electronic health records and healthcare documentation systems
• Valid driver's license, reliable transportation, and active auto insurance in accordance with state requirements
• Demonstrated ability to use motivational interviewing, trust building techniques, and clear expectation setting to support acceptance of clinically appropriate home care hours and care recommendations

Preferred Qualifications

• Bilingual: Spanish/Mandarin/Cantonese preferred
• Experience working with older adult populations
• Experience in PACE, home health, home care, or managed care environments
• Experience with care coordination, utilization management, or authorization processes preferred