Home Care Coordinator RN - Registered Nurse - Central NY Region

Role and Responsibilities

• Cultivate relationships to help physicians and hospitals identify the best Home Care solution for their patients.
• Exhibit active listening skills in order to conduct a comprehensive assessment including physical, psychosocial, and anticipated environmental needs.
• Interview patient and family/designated back-up.
• Communicate with PCP to safely transition to home and secure follow up appointment with PCP within seven (7) days of hospital discharge.
• Obtain a copy of the patient’s Hospital Discharge Instructions to facilitate medication reconciliation with physician.
• Collaborate with the acute care setting’s interdisciplinary team members to facilitate referrals and resulting in timely sharing of patient information during transitions to and from home care.
• Provide accurate and timely documentation via HomeCare HomeBase (HCHB) to facilitate the referral process.
• Develop an initial plan of care for each patient.
• Obtain insurance authorization and verify physician signing home care orders.
• Document according to facility/agency regulatory guidelines.
• Function as a team with fellow HCCs, agencies, and other HCR departments.
• Invoke the nursing process, identify qualifiers for home care, provide sufficient overview of both hospital course and identified initial home care need.
• Absorb and convey information through verbal and written means.
• Assist others as needed, displaying flexibility and effective problem-solving techniques in response to fluctuating patient volume and vacation coverage.
• Effectively communicate with internal business partners to ensure a safe, effective home care plan for all HCR patients.
• Attend required HCR meetings, in-services, and functions.
• Conduct education activities with physicians and hospitals.
• Be knowledgeable and conversant in all HCR programs and services, including specialty programs.
• Work in conjunction with community outreach staff, as needed.
• Meet agency referral metrics.
• Use outreach tools to effectively communicate with referring sources.
• Ability to clearly articulate an understanding of reimbursement issues and their relationship to home care.
• Demonstrate continuous professional development and participation in self and peer evaluation.

Education Requirements

• Current, valid RN license issued by NYS Department of Education.
• Associate's Degree in nursing is required.
• Bachelor’s Degree in nursing is preferred.

Qualifications and Requirements

• Current, valid RN license from NYS Department of Education required.
• Two years of community health/home care, hospital, or equivalent Home Care Coordinator experience.
• Excellent interpersonal communication skills.

Physical Requirements

• Stand
• Sit
• Walk
• Talk
• Stoop or kneel
• Repetitive motion

Work Environment

• Primarily in an office setting
• May be exposed to outdoor conditions