Job DescriptionFlexStaffThe Coordinator of Care is an essential component of the certified agency team. The Coordinator of Care is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in the home. This would include, conducting home visits, completion of all required documentation, communication with PCP, completion of 485 and all interim orders, update medication profile, care coordination with other disciplines, review and completion of case communication notes, daily review of follow-up items and incomplete documentation items noted in HCHB, participation in case conferencing with respective supervisor.Qualifications :
- Graduate of an approved school of professional nursing.
- Currently licensed RN in NYS.
- Home care experience preferred.
- Excellent verbal and written communication skills.
Essential Job Duties:
- Performs a home care assessment to determine patient's eligibility for services.
- If appropriate for home care services, the COC will complete a comprehensive assessment utilizing HCHB.
- In conjunction with patient's family and physician, develops and implements the Plan of Care based upon a comprehensive physical, psycho-social and environmental assessment.
- Provides skilled nursing care as described in the 485-Plan of Treatment, such as, but not limited to, wound care, injections, prepour/prefill of medications, disease management, medication management, etc..
- Orients and supervises home health aide personnel in accordance with regulatory requirements and documents accordingly.
- Evaluates the effectiveness of interventions in accordance with the plan of care.
- Identifies the need for evaluation by other disciplines such as physical therapy, occupational therapy, MSW, speech therapy and nutrition.
- Observes signs and symptoms and changes in patient's clinical, psychological and functional status.
- Consults with physician regarding changes in the treatment plan.
- Educates, counsels, supervises patient and caregiver relating to disease management and medical regime.
- Contacts physician to report, clarify and/or obtain orders for; medication changes/additions, precautions, treatment, changes in visit frequencies, additional services needed, requests for supplies and equipment, plans for discharge from a service or the agency.
- Documents and completes all assessment visits within 48 hours of the assessment date.
- Conducts discharge planning activities and identifies when patient has achieved goals.
- Communicates in advance anticipated discharge date to patient, family, physician and other members of the interdisciplinary team, as indicated.
Physical Requirements:
- Must be able to operate medical equipment.
- Must be able to perform physical and psychosocial assessment of client and family.
- Excellent verbal and written communication skills.
- Must be able to travel.
- Must be able to climb stairs.
- Occasional heavy physical exertion may be required, i.e., patient transfers and lifting.
- Must complete employment physical.
- Must provide proof of immunity to rubella and rubella.
- Must provide proof of non-infection to tuberculosis.
- The employee must review job description and agree to the qualification, requirements and duties as delineated. If the individual requires reasonable accommodations to perform job duties safely and effectively, this should be bought to the company's attention prior to signing this job description. All accommodations will be added as an addendum and made a part of the employees file.
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,