Home Care Coordinator HHA
- Must be willing to attain Home Health certification
Position Summary :
As a collaborative member of the interdisciplinary team (IDT) and under the supervision of the PACE Home Care Coordination RN Manager, the PACE Home Care Coordinator HHA provides foundational support to the Home Care Coordination team. This role conducts home safety evaluations, coordinates and monitors IDT approved services, such as the delivery of meals, caregiver services, and durable medical equipment (DME) for San Diego PACE participants. The Home Care Coordinator HHA is an advocate for participants' healthcare needs and preferences, ensuring that care is delivered in a person-centered and compassionate manner; working closely with participants, their families, and the interdisciplinary team to ensure that all aspects of unskilled home-based care are coordinated and aligned with the participants' goals and preferences. They liaise with caregiver agencies, DME suppliers, etc. to coordinate schedules, monitor the delivery and quality of services / care provided, and make recommendations for adjustments to care plans as needed.
Essential Functions of the Job :
Coordinate IDT approved meal delivery to client homesCoordinate IDT approved Durable Medical Equipment and incontinence supply delivery to client homesCoordinate IDT approved caregiver services for participantsAs a member of the IDT, completes the Home Care Coordination care plan at enrollment and semi-annually thereafterConducts pre-enrollment, annual, semi-annual, and change of address home safety evaluationsDocuments and tracks actions, services, and service delivery status updates in designated logs and participant electronic medical records (EMR) in accordance with clinical, DHCS, and CMS regulations and guidelinesReview progress notes and documentation of the delivery of services, informing the IDT of any gaps in service for reconciliationUpload progress notes, reports, and care / vendor related documentation to the EMRCommunicates regularly with participants, their families, and other healthcare providers to ensure coordinated care deliveryAdvocates for participants' healthcare needs and preferences and ensuring that care is delivered in a person-centered and compassionate mannerProvides support to PACE nurses in the coordination and delivery of meals, DME, caregiver services, etc.Collaborate with the interdisciplinary team members, including physicians, social workers, therapists, and other healthcare professionals, to ensure coordinated care for participantsAdheres to infectious disease precautions to prevent the spread of organismsAttends center staff meetings and in-service educational training programsAssists Home Care Coordination RN's as requestedConducts and documents monthly visits for homebound and RCFE participantsConducts home visits as neededAssists participants with surveysDelivers supplies, equipment, grocery bags, and any other items as requested / neededGenerates and maintains reports of services provided for the participantsAdditional Duties and Responsibilities :
Communicates and works effectively with participants and co-workersParticipates in interdisciplinary team meetings as neededAdheres to SYHC and PACE attendance and punctuality policies and practicesFollows established PACE and ADHC departmental and position specific policies and proceduresAttends meetings as required and participates in committees as directedMaintains health and safety standards and takes an active role in the Safety and Injury Prevention in the Workplace Program; maintains all records and documentation as requiredPerforms other related duties as assigned or requestedMinimum Qualifications :
Must possess CNA certificate and willing to attain Home Health certification. Must possess the skills necessary to coordinate and evaluate services for geriatric participants. Must have a firm understanding of the Home Health Aide scope of practice, and operate only within scope. Must be able to communicate clearly and function well in a team environment.
Job Requirements :
Education Required (Minimum level of education) : Must have CNA certification and willing to attain Home Health certification. CPR and First Aide certification form the American Heart Association, preferred
Experience Required (Minimum level of experience) : One year experience with the frail or elderly population Valid California Drivers License
Technical Knowledge and Skills Required to Perform the Job : Basic computer skills, Microsoft, Outlook, Excel
Working Conditions and Physical Requirements :
Continuous standing / walking / twistingOccasionally lifts, pushes and / or transfers participantsExposed to elements of health-related work (accidents, injuries, and illness)Travel to SYH and San Diego PACE sites and to meetings as neededUniversal Requirements :
Pre employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.