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Home Health and Hospice Program Coordinator- Oncology Rehab

Carilion Clinic
United Statesfull_timeVerifiedPosted 25 Aug 2025

About the role

How You’ll Help Transform Healthcare:

Oncology Rehab Program. Home Health and Hospice patient base.



Coordinates patient assessments, data gathering and analysis, development and implementation of processes to improve the overall quality and efficiency of patient care for the designated department and population served. Provides direct and indirect patient care as needed; oversees the delivery of patient care; and provides day to day management of programs to coordinate patient care as designated by the department.  Coordinates the delivery of safe, high quality patient care; identifies areas for study; and participates in and/or supports research. Works in compliance with all State, Federal, and other regulatory requirements. Serves as a resource and mentor to staff and team members. 
 

  • Organizes, formulates and coordinates a multi-disciplinary approach to the patient population for achievement of optimum outcomes.  
  • Reviews referrals to ensure appropriateness of admission/appointment; criteria is met; patient discharged with a plan for transition of care.
  • Problem solves to facilitate effective outcomes and resolves complaints, issues, or concerns. 
  • Plans, implements and coordinates strategies through evidence-based practices to support quality patient care; and improve outcomes (e.g.. length of stay, turn-around time, resource consumption).  
  • Develops, collects, analyzes and evaluates data as needed to identify trends.   
  • Serves as advocate for patient, protector of patient’s rights, and provider of psychological/social/cultural support. 
  • Integrates patient’s individual religious/ spiritual, ethnic and cultural beliefs into the plan of care. 
  • Develops, implements, coordinates and provides continuing education for the department, staff, patients, and families, as well as protocols to support standardization of care.  
  • Provides education. Education is specific to the need of the patient and well documented.  
  • Education is incorporated into the plan of care and includes physicians, staff, population specific representatives regarding patient care options. 
  • Serves as a liaison between department staff, patients and families, physicians, external vendors/partners to ensure a collaborative approach to care for patients and families.  
  • Interacts with staff, patients, physicians, families, visitors, and general public, representing Carilion Clinic during all interactions.  
  • Age specific admission and ongoing assessments are completed, documented and used to develop a plan of care.  
  • Coordinates discharge of the patient from one environment to the next. 
  • Coordinates discharge / ongoing care needs with ancillary services as appropriate.   
  • Communicates overall plan of care to direct care staff, as well as changes in plan of care during the course of treatment.    
  • Acts as a resource for peers, the organization, families and community members.  
  • Organizes educational presentations, exhibits, and community events for professionals and the community; and represents Carilion Clinic at conferences and professional meetings.   
  • Promotes programs and arranges exhibits at various professional presentations, health and career fairs and community events in collaboration with the management team and Strategic Development.     

What We Require:


Education: Graduate from an accredited PTA/COTA program. Bachelor’s degree preferred.

Experience: Minimum of 5 years’ experience as a therapy assistant.

Licensure, certification, and/or registration: Current discipline specific certification as PTA or OTA and Virginia license. BLS-certified (from a Carilion approved program) within six months of employment. Valid Virginia, or state specific, driver’s license required for employees working in Home Health or departments where the work requires traveling.

Other Minimum Qualifications: Effective interpersonal, communication, and team-working skills required. Strong critical thinking, conflict resolution, organization and effective judgement abilities required. Must successfully complete orientation and competency validation requirements. Must be able to meet essential job functions. Designated areas may require Knowledge of Medicare/Medicaid and other third-party payor regulations

About Carilion


This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 a

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Carilion Clinic

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