Home Care Coordinator Casual Days

About This Role

This role coordinates home care services for patients transitioning from hospital to home, specifically for those who have chosen Palos Health Home Health Care. The coordinator acts as a key resource for other hospital departments and the community regarding home care, ensuring a smooth and coordinated program of care.

Responsibilities

• Attend interdisciplinary rounds at Palos Health as requested to facilitate the coordination of services from hospital to home
• Consult with physicians, nurses, social service, and other members of the Health Care Team at Palos Health to determine patient needs and establish a coordinated program of care, products, and services prior to discharge from any unit or department
• Facilitate discharge planning of current PH Home Care patients or those hospitalized at Palos Community Hospital
• Identify hospitalized patients of Palos Health Home Health Care who may require initiation of services during the evening or weekend hours
• Utilize community agencies and Palos Health Social Services Department in a consistent manner to develop a home care plan post-discharge
• Educate patients and families regarding available resources post-hospitalization
• Assess patient and family support system to determine the appropriateness of Home Care to meet post-discharge needs
• Receive physician orders for Home Care services and communicate relevant clinical, psychosocial, and financial information to Home Care supervisors
• Document all communication with other members of the health care team including, but not limited to, the patient, family, physician, social service, and discharge planners
• Participate in staff meetings, inservices, management meetings, process improvement, and other activities and meetings as requested
• Generate monthly tracking reports as requested
• Assist nursing supervisors with verification of benefits as necessary
• Inform patients of possible financial responsibilities whenever possible
• Educate Social Workers, Physicians, Nurses, and other members of the health team regarding Federal, State, Local, and regulatory/accrediting rules and regulations governing home care
• Educate Nurses, Physicians, Social Workers, and other members of the Health Care Team, regarding agency policies and procedures and products/services available in the home care industry
• Demonstrate the ability to care for patients with an understanding of the cognitive, physical, emotional, and chronological maturation process
• Adhere to PH Home Health Care policies regarding all aspects of HIPAA Privacy and Confidentiality Rules, dress code, and attendance
• Adhere to all PH and PH Home Health Care policies
• Perform other and related duties as directed

Requirements