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Patient Care Coordinator
2 months ago
Position Summary: The Care Coordinator plays a pivotal role in managing and enhancing the quality of home health services. This position involves extracting clinical data from OASIS and various medical documentation, ensuring accurate ICD-10 coding for patient records in line with established protocols. The Care Coordinator also recommends improvements to OASIS documentation and provides guidance to clinicians based on clinical insights.
Key Responsibilities:
- Guarantees the safe and effective delivery of home health care services.
- Develops and oversees staffing strategies that reflect the productivity of both skilled and unskilled personnel.
- Coordinates and evaluates the quality of care provided by clinical and support staff.
- Acts as a liaison between the agency and medical offices, hospitals, and other external organizations to address client concerns, accept medical orders, and manage referrals.
- Assigns initial assessments to Registered Nurses, Physical Therapists, or Speech Therapists as necessary.
- Establishes methods for interdisciplinary care coordination.
- Monitors staffing patterns, missed appointments, and all scheduling-related functions.
- Reviews overtime, staffing discrepancies, and other operational metrics.
- Ensures all care authorizations are properly routed and utilized.
- Participates in the recruitment and onboarding of new staff members.
- Maintains up-to-date knowledge of healthcare services in home settings, as well as Medicare, Medicaid, insurance, and pre-authorization processes.
Qualifications: A graduate of an accredited nursing program is required, with a BSN preferred. A minimum of two years of experience in home health OASIS review and five years in home health or hospice is preferred. Certifications in home health coding (HCS-D or BCHH-C in ICD-10) and OASIS (COS-C or HCS-O) are essential. Experience in quality assurance or case management is advantageous.
Note: This position is office-based and not remote.
