Home Care Coordinator

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Join BoldAge PACE and Make a Difference!

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Why work with us?

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Competitive Compensation:

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BE PART OF OUR MISSION!

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Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.

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Home Care Coordinator

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JOB SUMMARY 

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The Homecare Coordinator is a core member of the PACE Interdisciplinary Team responsible for coordinating, overseeing, and monitoring homecare services delivered by internal staff and contracted vendor agencies. This role ensures that authorized homecare services are delivered in accordance with participant care plans, regulatory expectations, and organizational policies.

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The Homecare Coordinator actively participates in IDT care planning, assessment, and reassessment processes; monitors service delivery and aide performance; identifies care gaps or changes in participant status; and facilitates timely care plan modifications.

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ESSENTIAL DUTIES AND RESPONSIBILITIES: 

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Essential Responsibilities – IDT Participation & Care Planning

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• Serves as an active and consistent member of the PACE Interdisciplinary Team.
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• Participates in initial, annual, semi‑annual, unscheduled, and Significant Change in Condition (SDR) assessments.
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• Collaborates with nursing, therapy, social work, and providers to develop and update care plans.
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• Identifies changes in participant status and initiates IDT reassessment discussions.
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Homecare Service Coordination, Care & Oversight, Center Support

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• Coordinates authorized homecare services in alignment with approved care plans.
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• Oversees internal and vendor‑provided aide services.
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• Monitors timeliness, consistency, and adherence to care plant asks.
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• Serves as the primary point of contact for scheduling and coverage issues.
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• Provides direct care in home to support participant needs when necessary.
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• Serves as assist for in-center activities or participant care if delegated by Center Leadership.
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Documentation, Authorization & Compliance

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• Ensures accurate and timely completion of aide documentation.
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• Reviews records for consistency with authorized services.
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• Communicates missed care or refusals to the IDT.
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• Creates and updates homecare authorizations as needed.
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Aide Onboarding, Education & Support

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• Coordinates onboarding and orientation for internal aides and resource for vendor.
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• Provides ongoing coaching and support for complex cases.
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• Identifies education gaps and facilitates training.
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Vendor Agency Coordination

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• Serves as liaison between the PACE program and contracted agencies.
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• Communicates care plans, schedules, and expectations.
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• Monitors vendor performance and escalates concerns.
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Quality, Incident & Grievance Management

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• Monitors and reports incidents, grievances, and aide change requests.
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