POSP Home Care Coordinator (RN/LPN)

Job Description

Job Description

Job Title : Home Care Coordinator (RN / LPN)

FLSA Status : Exempt

Salary Range : See Salary Scale

Job Summary : Under the direct supervision of the Center Manager and indirect supervision of the Chief Operating Officer, responsible for the development and implementation of homecare services for program participants, including the coordination of all Durable Medical Equipment and nursing home care.

Specifications

Education : Associates Degree in Nursing preferred but not required.

Experience : At least 1 year as an RN or LPN, preferably in either home or community health. Supervisory experience desired.

Minimum of 1 years’ experience working with the frail elderly population preferred.

Number and Type of Employees Supervised (optional) : None

Licensure, Registry or Certification Required : Licensed RN or LPN in NC, current, valid NC driver's license and vehicle.

Special Training : Must be able to work effectively in a team environment. Must possess excellent communication, interpersonal and conflict resolution skills.

Must be able to treat geriatric patients. Only act within the scope of his or her authority to practice. Meet a standardized set of competencies established by PACE of the Southern Piedmont and approved by CMS before working independently.

Immunizations : Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

Key Responsibilities :

Using the nursing process, assess the home care needs of a frail elderly population, and identifies and develops specific plans of care.

Conducts initial and periodic assessments that must be completed prior to the scheduled team meeting at a minimum of every 6 months.

Communicates participant changes with team members.

• Coordinates 24-hour care delivery and the implementation of all home care services which includes personal care services to ensure that quality services are provided to meet participant needs.
• Coordinates and authorizes all Durable Medical Equipment (DME). Manages home supplies such as incontinence, diabetic, colostomy, nutritional, and other supplies.

Also manages services such as Life Alerts and electronic medication reminder systems.

• Reconciles invoices for personal care service hours and home supplies.
• Performs acute, in-home visits as requested by primary care provider and / or supervisor.
• Coordinates any DME for participants in the nursing facilities according to program standards. Includes interaction with other facility staff.

Assists with discharge planning efforts from nursing facility to home and arranges appropriate care as part of discharge plan as approved by IDT.

Supports the PACE of the Southern Piedmont mission to encourage and support the quality of life of seniors wishing to continue living in the community;

its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.

Supports his / her Interdisciplinary Team and promotes unity among the team while interacting with the team, other co-workers, and / or participants.

Participates, collaborates, and contributes as a member of the Interdisciplinary team, emphasizing teamwork and collaboration in all clinic and Interdisciplinary team interactions

Participates in participant care planning including the implementation of SMART goals / interventions for the participants’ care plans and enters all care plan information in a timely manner as per organizational protocols.

Updates participants’ care plans appropriately throughout the reassessment period.

• Works with Social Worker to provide community resources for participant needs.
• Provides nursing triage through the on-call nurse rotation schedule.
• Performs other nursing tasks as designated by supervisor.
• Other duties as assigned.

Kintegra Health Core Requirements

1. Patient First An approach to care that holds primary, the well-being and desires of the patient

2. Build not Blame Focusing first on finding fault with the process rather than the person

3. Integrity and Honesty Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers

4. Cooperation and Flexibility Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description

5. Culturally Sensitive Always working toward increasing one’s ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one’s own culture.

We are an equal opportunity employer and value diversity.