Home Health Care Director / Coordinator
Job description
Dependable Staffing Agency (DSA)
Home Health Care Director/Coordinator
Attractive and Negotiable Salary
Dependable Staffing Agency (DSA) was founded in 1989 with a genuine desire to offer quality, compassionate, and professional skilled and non-skilled services. We are committed to providing a caring service that respects the personal values and dignity of our clients whom we serve in our community.
The Home Health Care Coordinator provides support for designated health home clients which includes coordinating an array of services designed to improve the health of high needs, high risk clients. Care coordination responsibilities will include monitoring of AIDA referrals, assessment and care planning and monitoring of client status, and implementation and coordination of services. Provides/arranges for support to clients for effective improved self-management skills, enhanced client-provider communication, and care transitions. Will facilitate interdisciplinary consultation, collaboration, and care continuity across care settings.
Duties and Responsibilities
- Overall Management and coordination of Home health care
- Engage clients in care coordination activities designed to promote improved utilization of home health care services and can clearly explain the DSA Health Home Program to potential clients by phone, in person, and via written correspondence. Contacts potential clients to explain benefits of the Home Health care.
- The creation and ongoing maintenance of a patient-centered, goal-oriented Health Action Plan.
- Provides evidence-based health assessments and screenings
- Provides/arranges for transition support services.
- Provides teaching/coaching re: self-management of the client’s chronic health conditions and provides resource links to ongoing disease self-management support services.
- Works with supervisors and other healthcare providers, hospital discharge planners, skilled nursing facility staff, and staff at the client’s home health location to implement services and analyze the disposition of cases. Performs facility visits, home visits, and follow up telephone calls to develop critical coaching relationships to empower clients to take an active and informed role in their discharge. Also, coordinates follow-up activities and referrals with other programs including Case Management,
- Information & Assistance, Family Caregiver Support Programs, etc.
- Develops and maintains relationships with the community agencies and organizations that have the potential to provide resource support to the program or to the individuals.
- As applicable, coordinates and communicates regarding the client’s post-discharge status with all involved health care providers including, but not limited to, primary care, mental health, and social services.
- Provides referrals and advocacy for clients and their caregivers to community long term services and supports, which includes family caregiver programs, nutrition programs, in-home care, and case management, etc.
- Works collaboratively with multi-disciplinary teams involving nurses, case managers and case aides as needed.
- Develops and maintains complete and concise client files in compliance with policy to appropriately document activities performed for the client and all elements required for specific programs.
- Maintains all required documentation related to services provided and conforms to monthly deadlines.
- Participate in staff meetings and provider training sessions, as appropriate.
- Participates in continuing education and training programs.
- Attends required meetings and trainings.
Essential Qualifications:
RN, LVN, or Medical and Three years of paid on the job social service experience,
Experience working with the AIDA referral program (preferred).
Experience working on cross disciplinary, cross-organizational teams. Experience meeting and working with people in homes and other medical or community settings. Knowledge of community resources for the elderly, disabled adults, and caregivers.
Well-developed human relations skills and ability to work in a team-based environment. Knowledge of social service or human service issues pertaining to elders and people with disabilities preferred.
Ability to research and propose solutions to a variety of problems presented by clients.
Ability to communicate with the public, both orally (in person and over the phone) and using written materials. Hear and speak clearly on the phone. Excellent communication skills, oral and written.
Equipment and Software Requirements:
Experience with PC-based word processing, spreadsheet, and database applications. Ability to utilize other PC- based computer programs and systems that may be specific to positions or duties. Knowledge of Word, Excel, and Outlook email programs. Ability to acquire proficiency in respective client documentation platforms.
Essential Requirements of this Position:
- Valid/current WA State Driver’s License.
- Current automobile insurance.
- Ability to pass background checks.
- Ability to read, speak, write, and comprehend the English language.
- Ability to travel to client homes and community agencies or to work at a desk up to eight hours a day using a computer and telephone.
- Ability to climb stairs and to make home and residential client visits in settings that may not be accessible or may not meet prevailing community standards.
- Ability to maintain records and files of clients and services. Ability to document services, review and write on paper forms. Ability to use a computer keyboard to enter and retrieve information.
- Ability to establish and maintain effective working relationships with clients, families, caregivers, service providers and staff.
- Skill in interviewing clients in person, on the phone, and others involved as relevant, to elicit information and impact client situation.
Other Duties as Assigned:
Performs other related job duties as assigned.
Address: 33600 6th Ave S Suite 204, Federal Way, WA 98003
Phone: (253) 252-3957 and (253) 252-3956 ( Extension 102)
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