Home Care Administrative Coordinator-PACE

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.

As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 100,000 people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.

The Home Care Administrative Coordinator will coordinate authorized home care and home health services for Program for All-Inclusive Care for the Elderly (PACE) participants. This role will work with care teams to ensure proper care services are provided through contracted agencies to meet the needs of participants. In addition, this role will serve as the liaison between PACE and contracted home care and home health agencies.

This position is fully onsite; home site can be Murrieta or Riverside. Schedule: Monday-Friday; 8am-5pm.

Responsibilities

• Serves as main point of contact for contracted home care and home health agencies regarding referrals, authorizations, scheduling, and follow-ups
• Prepares, processes, and completes participants referrals for services, including communicating referrals, instructions, and schedule details to participants and their families
• Documents and tracks actions, services, and status updates in designated logs and participant electronic medical records (EMR) in accordance with clinical, DHCS, and CMS regulations and guidelines
• Monitors and reports status of authorization requests for participants; escalates issues to direct supervisor, as needed
• Works with clinical team to coordinate referral re-authorizations for home care and home health contracted agencies to avoid lapses in authorization or delays in services
• Monitors, tracks, and evaluates personal care services delivered to participants by contracted home care agencies to ensure services are aligned to care plans, including verifying completion of competency assessments
• Reviews and responds to home care concerns from participants and contracted agencies
• Attends the interdisciplinary team meetings as a member to communicate participant changes and participate in care planning
• Reviews and uploads home care and home health medical records to identify follow-ups; works with clinical teams to ensure follow-ups are processed in a timely manner
• Reschedules missed services or appointments and notifies clinical teams according to policies
• Screens, answers, and responds to home care/health calls and messages

Qualifications

Education/Experience

• High school diploma or GED required; bachelor’s degree in business administration or heath related field preferred
• Current Basic Life Support (BLS) certification required upon hire and must be maintained as a condition of employment. These courses must follow AHA guidelines- may be completed through approved online providers such as ProMed or other equivalent programs that meet recognized BLS standards
• One year experience working with frail or elderly population preferred
• Experience working in adult day health center or PACE preferred
• Bilingual (English/Spanish) highly preferred

Additional Qualifications(Knowledge, Skills and Abilities)

• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Knowledgeable about and experience with adult day health centers and treating geriatric patients
• Ability to successfully manage multiple tasks simultaneously
• Ability to takes on call rotations on an alternating basis to include weekends and evenings
• Excellent planning and organizational ability
• Ability to work as part of a team as well as independently
• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 50 lbs/weight
• Ability to stand for long periods of time

Pay range: $24.95 - $34.93 per hour, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.