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Clinical Home Care Coordinator - float

Trinity Health
United Statesfull_timeVerifiedPosted 31 Jan 2025

About the role

Employment Type:

Full time

Shift:

Description:

FLOAT HCC POSITION FOR ALL TRINITY HEALTH AT HOME REGIONS

Responsible for: the efficient and effective facilitation of referrals to the post-acute homecare/hospice agency 
once identified in the acute care setting; the provision of education to acute care staff, including physicians, 
regarding services available from homecare/hospice; and may also be involved in business development 
activities as they relate to business expansion or new program development.

Minimum Qualifications
• Bachelor’s degree or equivalent level of experience required.
• Graduate of an approved clinical education program and current clinical license in the state of employment
preferred.
• Must have a minimum of two (2) years' experience in an acute care setting, customer service, 
sales/marketing role or relevant experience.
• Must have current Driver’s license and reliable transportation to and from work site. 
• Ability to consistently demonstrate a commitment to the mission and Organizational Code of Ethics and 
adhere to the Compliance Program.
• Well-developed oral and written communication skills.

Essential Functions 
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, coverage 
requirements, the Organizational Integrity Program, Code of Ethics, as well as agency policies and 
procedures and adheres in a manner that reflects honest, ethical, and professional behavior.
• Maintains daily contact with case managers/discharge planners and units to offer assistance and assure 
that patients referred for services are followed up on in a timely and efficient manner.
• Interacts with healthcare team members to answer any questions related to homecare/hospice and 
community-based services as they plan for patient discharges from the acute care setting.
* The Fair Labor Standards Act ("FLSA") classification noted on this job description might vary depending on your state's wage and hour 
laws

• Coordinates care for clients going home from the hospital who have chosen the agency’s services.
• Reviews and gathers information from the hospital medical record, copying portions for transmission as 
needed.
• Documents initial assessment of homecare needs and potential plan for services in compliance with agency 
policy.
• Arranges service in accordance with the established admission criteria, client care needs and client 
preference.
• Obtains physician orders for initiation of homecare/hospice services in accordance with agency 
policy/procedure and third-party regulations.
• Utilizes interview, observation, and evaluation in assessing clients and applies clinical judgment, consistent 
with practice standards, in determining appropriate home care services and making recommendations to the 
physician and client.
• Interacts with healthcare team members, clients, and their families to answer additional questions regarding 
homecare/hospice services being requested. Provides client and family with written and/or verbal 
information as appropriate.
• Makes appropriate referrals for evaluation/care to other services as needed, and coordinates care with 
others to ensure effective and efficient care is provided.
• Sends client information to intake at agency, either electronically or manually.
• Notifies hospitals of readmission and provides current information regarding client/family status.
• Actively participates in branch quality assessment and improvement activities. Utilizes the principles and 
tools of Continuous Quality Improvement as an integral part of daily activities and team interactions.
• Assists in the identification, development, and implementation of new programs/initiatives in order to meet 
client needs. Assists in further business development activities as assigned by the ED or Sales Manager
• Accurately documents observation/assessment and interventions, pertaining to client continuing care 
management in accordance with agency policy and procedure utilizing the point of care information system 
as

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Company

Trinity Health

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