Rehab Patient Care Coordinator - (PT/OT/SLP)
POSITION SUMMARY : The Patient Care Coordinator is accountable for the administrative and clinical coordination and management of multidisciplinary care teams. The coordinator ensures patient care's administrative and clinical aspects are maintained at the highest home health standards, continuity of care, and delivery is efficient.
ESSENTIAL DUTIES & RESPONSIBILITIES
Care Coordination and Scheduling
Act as administrative liaison between agency, patients, caregivers, payers, and providers.
Assist in managing patient care and ensuring quality service and satisfaction.
Work in partnership with administrative and clinical personnel across the agency.
Monitor work of schedulers, field clinicians, and other administrative office personnel; assist in improving effectiveness.
Manage intake and referral processes, including insurance verification and authorization.
Coordinate schedules for in‑home visits by nurses, therapists, and other care providers.
Maintain accurate and up‑to‑date records in the EHR.
Patient and Family Communication
Primary point of contact for patients and families regarding care plans and service updates.
Communicate with empathy and clarity; keep family members informed of care plans, schedule changes, or new physician orders.
Address concerns or complaints from patients, caregiver, client, provider, and other stakeholders; resolve issues and elevate as needed.
Interdisciplinary Team Collaboration
Facilitate and participate in multidisciplinary case conference meetings with administrative and clinical personnel to coordinate delivery of patient care.
Care Plan Management
Partner with admitting clinicians and other administrative personnel to facilitate completion of plan of care and related paperwork for compliance.
Maintain and update individualized care plans for each patient.
Monitor patients’ progress and ensure timely reassessment and care plan updates.
Coordinate with the clinical team to adjust care plans or visit frequency as necessary.
Ensure services are delivered in accordance with physician orders and agency policy.
Patient Follow‑Up
Conduct regular follow‑ups with field clinicians via supervisory home visits to check patients' well‑being and confirm adherence to care instructions.
Conduct follow‑up phone calls to identify new needs and service satisfaction.
Documentation and Records
Perform data entry, record keeping, correspondence, computer composition, technical drafting, and office work.
Answer phone calls and provide non‑clinical administrative support; read information from electronic health record (EHR).
Maintain confidentiality and safety of patient clinical records.
Maintain administrative compliance with submission of all clinical orders, authorizations, visits, and required documents.
Regulatory Compliance
Assist management in administering, planning, and facilitating in‑services.
Ensure compliance with required state and federal regulations, Medicare/Medicaid requirements, and HIPAA privacy rules.
Assist in managing compliance with OASIS assessment transmittal to the federal government.
Verify that care delivery matches physician orders and authorized frequencies.
Maintain compliance with Medicare, Medicaid, and other payor requirements.
Quality Assurance
Participate in quality improvement and compliance activities.
Conduct audits and review patient charts for completeness.
Work with management to develop better processes for care coordination.
Identify performance problems and develop solutions.
Provide input on improving patient satisfaction and outcomes based on feedback.
Recommend training needs to improve performance of the administrative and clinical team.
Perform additional administrative and clinical duties as delegated.
Position overview statements summarize major duties; job may include additional tasks as needed.
EDUCATION / LICENSURE REQUIREMENTS
Licensed as Physical Therapist (PT), Occupational Therapist (OT), or Speech & Language Pathologist (SLP) in California.
Maintain a current Basic Life Support (BLS) CPR / AED certification for healthcare providers.
QUALIFICATIONS & SKILLS
Preferred: Administrative experience in a pre‑acute, acute, or post‑acute setting, leading and executing administrative functions.
Preferred: Clinical experience in a pre‑acute, acute, or post‑acute setting.
Required: Data entry, answering telephones, filing administrative and clinical records.
Preferred: Two (2) years’ of professional rehab experience within the last five (5) years in a home health agency, primary care clinic, or healthcare facility.
Preferred: One (1) year of recent home health experience.
Preferred: Management experience.
Preferred: Adequate background knowledge and expertise in administrative leadership, planning, and execution to support clinical decision‑making and quality management review.
Sufficient computer skills to operate an Electronic Medical Record system.
Knowledge of Medicare regulations to perform an OASIS assessment.