Intake/Home Care RN Wanted!

Position Responsibilities – Home Care

• Assess the home and personal care needs of the frail and elderly population, and identify and work with the Interdisciplinary Team (IDT) to develop specific plans of care. Initial and periodic assessments to be conducted minimally every 6 months and must be completed prior to the scheduled team meeting. Receives reports from home care staff and communicates participant changes to IDT members in a timely manner.

• Schedule and coordinate home care staff for in-homecare delivery and the implementation of all personal care services to ensure that quality services are provided to meet participant needs.

• Coordinate all DME provisions in home setting; work with IDT with DME authorization requests.

• Coordinate 24- hour care delivery.

• Document participant changes appropriately in the medical records and communicate participant changes to IDT in a timely manner. 

• Supervise home care staff based in the community.

• Keep up to-date on home care standards and best practices.

• Ability to drive to community locations and residences to provide on-site training and competency checks of home care staff.

• Other projects and duties as assigned.

Position Responsibilities – Intake 

• Screen potential participant in the home and assess their environment and personal care needs of the frail and elderly population, and identify skilled needs based on DHCS eligibility guidelines.

• Complete LOC tool including diagnoses, medications, ADL’s, IADL’s in addition to a narrative summarizing potential participant’s skilled needs.

• Submitting completed LOC to DHCS.

• Tracking responses from DHCS and coordinating with Enrollment team.

• Presenting approved participant to IDT and sharing additional findings.

• If potential participant is deferred, coordinate with Enrollment team to bring potential participant into PACE for assessments.

• Track whether assessments have been completed and re-submit to DHCS for response.

• Other projects and duties as assigned.