Role Description
The Home Health Care Coordinator is responsible for coordinating and managing the delivery of skilled home health services in compliance with Medicare, state, and agency regulations. This role serves as the central point of communication between referral sources, patients, clinicians, and caregivers, ensuring timely initiation of care and continuity of high-quality services. The Coordinator supports the clinical and administrative teams by overseeing scheduling, documentation flow, and regulatory compliance. This position is remote and offers you the flexibility of working from home.
Essential Duties and Responsibilities:
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Intake and Referral Management:
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Receive and process all new referrals from hospitals, physicians, and community sources.
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Verify patient eligibility, insurance coverage, and required documentation for Medicare certification.
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Obtain and review physician orders prior to the start of care (SOC).
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Coordinate timely start-of-care visits to meet Medicare Conditions of Participation (CoP Β§484.55).
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Care Coordination and Case Management:
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Serve as the liaison between patients, families, physicians, clinicians, and other community resources.
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Ensure that patient plans of care are established, updated, and followed according to CMS guidelines and physician orders.
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Monitor visit frequencies, missed visits, and outcomes to ensure compliance with the established care plan.
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Communicate changes in patient condition or physician orders to all appropriate team members.
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Documentation and Compliance:
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Ensure timely and accurate entry of all patient data into the Electronic Health Record (EHR) system.
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Maintain compliance with Medicare documentation requirements (including OASIS assessments, plan of care, and visit notes).
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Participate in agency Quality Assurance and Performance Improvement (QAPI) activities.
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Review clinical documentation for completeness and accuracy prior to submission for billing.
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Assist with internal and external audits and regulatory surveys.
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Scheduling and Staff Coordination:
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Schedule clinicians (RNs, PTs, OTs, STs, HHAs) based on patient needs, clinician skills, and visit frequency requirements.
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Communicate promptly regarding schedule changes, missed visits, or urgent patient needs.
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Collaborate with clinical leadership to ensure adequate staffing coverage.
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Communication and Customer Service:
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Provide excellent service to patients, families, referral sources, and staff.
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Address and resolve patient or caregiver concerns in a timely and professional manner.
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Promote a positive image of the agency in the community and among referral partners.
Qualifications
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Must be a US Registered Nurse with New York License.
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Minimum 2 years of experience in home health care, case management, or clinical coordination.
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Knowledge of Medicare Conditions of Participation, OASIS documentation, and HIPAA compliance required.
Requirements
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Strong organizational and time-management skills with the ability to manage multiple priorities.
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Excellent verbal and written communication skills.
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Proficient in Home Health EHR software (e.g., Net Smart, Homecare Homebase, MatrixCare, or similar).
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Detail-oriented and able to ensure accuracy in documentation.
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Empathetic, patient-centered, and committed to quality care.
Benefits
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Industry standards applicable to the state depending on work experience and level of expertise.
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Flexible remote working environment.
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Collaboration with an international team.
Company Description
At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.