PACE Home Care Coordination Registered Nurse Supervisor

Position Summary:
Under the supervision of the Transitions and Care Coordination RN Manager, the Home Care Coordination RN Supervisor oversees the San Diego PACE Home Care Coordinators (RN and HHA) and Telephone Triage Team, ensuring the health and safety of San Diego PACE clients in their homes, including but not limited to: conducting home safety evaluations and routinely assessing the needs of clients in their homes to ensure they are receiving appropriate services, and professional IDT contributions from this team.

This role will assess the quality, efficiency, and accessibility in the provision of PACE services in home. The Home Care Coordination RN Supervisor will set expectations for the planning, implementation, organization, and coordination of services to ensure home safety for San Diego PACE participants, consistent with CMS and DHCS requirements. This supervisor will also work in conjunction with the IDT Moderators and site leadership to oversee that all Care Coordinators are doing the same. The Home Care Coordination RN Supervisor is responsible for leading and managing the provision of caregiving and other home health services, ensuring high quality standards within the Home Care Coordination Department. Responsibilities include but are not limited to setting standards for documentation; determining appropriate assessments and tools to be used by department staff; ensuring policies and procedures are up to date; performing technical training; auditing documentation adherence and quality; monitoring and communicating changes to regulations; and guiding performance improvement efforts. The Home Care Coordination RN Supervisor serves as the technical expert for the discipline.

Additionally, the Home Care Coordination RN Supervisor will serve as the primary point-of-contact for escalation of overall service needs, including, but not limited to caregiving, home health, and DME agencies contracted by San Diego PACE to provide care giving services in participant homes. This position partners with the IDT/Center Managers to provide matrixed supervision and clinical support to Home Care Coordination team members as needed.

Essential Functions of the Job:
• Supervises a robust Care Coordination program that helps participants develop, regain, or maintain their highest potential for functional performance.
• Provides guidance and monitors related work ques of Home Care Coordination staff.
• Ensures assignments and accountability for outcomes; communicates and enforces values, policies, and procedures.
• Conducts qualitative reviews and assesses documentation of medical records for completeness and relationship to the treatment plan and identifying gaps or barriers in treatment plans, escalating, and resolving as appropriate.
• Develops and implements appropriate/required Home Care Coordination protocols and monitors that the Home Care Coordination team follows all protocols.
• Provides direct and indirect supervision of discipline specific staff through monthly audits of medical records and direct observation of the provision of services.
• Ensure appropriate Home Care Coordination resources are shared with IDT, to ensure timely and efficient problem solving.
• Responsible for conducting regular Home Care Coordination Team Meetings, training and on-going review of policies and procedures.
• Ensures timely and efficient handling of complaints, concerns, and resolves any Home Care Coordination matters to ensure the highest quality of services to our PACE participants and their families.
• Ensures coordination of services provided in the home, under the purview of this discipline and captured within the discipline care plan.
• Sets standards for coordination of care and understands and demonstrates respect for patient rights, utilizing established mechanisms for effective management of ethical issues in patient care.
• Demonstrates active participation in San Diego PACE QA processes; is involved in assessment and implementation of QA improvement plans.
• Assists with the planning and preparation of the San Diego PACE CMS audit.
• Establishes Home Care Coordination operational strategies by evaluating needs; establishes critical measurements; determines production, productivity, quality, and patient service strategies.
• Integrates cost effective measures into Home Care Coordination practice.
• Responsible as assigned for after business hours, weekends, and holidays coverage.
• Complies with policies addressing safe working conditions; monitors unsafe working conditions; recognizes inappropriate and/or ineffective patient care management, resolves issues/problems, and completes written reports; fulfills call for unit as assigned and adjusts staffing for census (volume) and acuity.
• Ensures that all new Home Health staff are on-boarded, annual competenc