Patient Care Coordinator (RN Case Manager )

Job Title/Position:Patient Care Coordinator

Reports to:Clinical Manager

JOB DESCRIPTION SUMMARY: The Patient Care Coordinator’s (PCC) primary responsibility is to provide administrativesupport for the Clinical Managers, clinical care staff and patients. The PCC will coordinatedaily/weekly/monthly clinical reports, patient supplies and interagency/communityreferrals. The PCC will also collaborate with agency departments, facilities andphysicians as needed to coordinate appointments and/or obtain necessary documentsrequired for care delivery and billing. The PCC must be clinically licensed & have theability to receive a physician order. This position is primarily in an office environment;however, the PCC may be asked to assume patient overflow during high censussituations.

ESSENTIONAL JOB FUNCTIONS/RESPONSIBILITIES

1. Collaborate with scheduling department to verify employee/patient schedules areaccurate, staff are productive & schedule variances are reconciled.

2. Support patient needs by communicating with field staff when patientassignments need priority i.e.,clinical change in condition, with direction fromClinical Manager.

3. Supports safe, effective care delivery by assisting with order review to ensureState and Federal Regulations are satisfied.

4. Supports operations & compliance by effective maintenance of agency ClinicalTasks Reports for variances. These include but are not limited to: ScheduleReport, Missed Visit Report, Past Due Visits, Schedule Deviation, Visit Exception& Orphan Documents. Unresolved variances will be escalated to the ClinicalManager.

5. Supports clinical care and billing function by educating and obtaining clinicaldocuments needed for home health billing as needed.

6. Verify admission criteria necessary for Notice of Admission daily andcommunicate variances to Clinical Manager for follow-up.

7. Assists with care coordination i.e. DME, medical supplies, coordination ofappointments or referrals to outside agencies.

8. Facilitates patient care coordination documents with acute and post-acutefacilities during patient transfers.

9. Assists with education & training of field staff.

10. Other duties as assigned, may cover for field staff in situations of high censusetc.

POSITION QUALIFICATIONS

1. One-year home care experience or experience in a facility setting.

2. Must be a licensed clinician with current, active license in good standing in thestate the agency is located.

3. Skilled in making effective verbal and written communications with subordinates,co-workers, consumers, referral agencies and comfortable with conflict resolutionskills.

4. Ability to educate consumers on all service lines and present to seniors andaides in a group setting

5. High energy level and passionate about care delivery

6. Must have excellent organizational skills and ability to complete competingpriorities

7. Must have thorough understanding of home health or hospice qualifying criteriaand coverage guidelines

8. Ability to listen attentively and offer care options based on individual patienthealth needs

9. Proficient computer skills ability to navigate Microsoft email, word, excel, powerpoint and home health or hospice agency software system

10. Must have vehicle, current driver's license and appropriate automobile insurance.

ENVIRONMENTAL AND WORKING CONDITIONS:

1. Office environment with prolonged or considerable sitting and keyboard work.
2. Some driving/travel involved to possibly conduct patient visits.
3. Majority of work conducted in a bfast-paced office setting.
4. Must be able to lift 25 lbs. and handle office supplies andequipment.
5. Considerable reaching stooping, bending, kneeling or crouching.
6. Visualacuity and hearing needed to perform required job functions.

Compliance:

1. Acknowledge my obligation and agreement to fulfill those duties and responsibilities as set forth in the Code of Conduct and Compliance Policies and to be bound by these standards.
2. Certify that throughout my association with EH I will comply with the terms of the Code of Conduct and Compliance Policies.
3. Understand that violations of the Code of Conduct and Compliance Policies may lead to disciplinary action, including termination of employment.