Home Care Coordinator

Habitat Health empowers older adults to experiencemore gooddays in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, andin ‑ homeassistance. We deliver coordinated clinical and social care in our centers and directly in participants’ homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, ourmission ‑ drivencare teams continue to help participants live well on their own terms. Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit Role Scope We are looking for a Home Care Coordinatortoensurethatpersonal and clinicalhomecare needs are delivered tohelp our participants thrive.As a member of the Interdisciplinary Team (IDT), the Home Care Coordinatorparticipatesin the assessment of participant needs, development of care plans, and coordination of home care services to support safe, effective, and person-centered care in the home setting. Core Responsibilities & Expectations for the Role Exhibit and honor Habitat’s values. Conduct comprehensive in-home assessments to evaluate participant care needs, functional status, safety risks, and appropriateness of home care services Perform home safety evaluations and provide recommendations to promote participant independence and reduce risk Assess participants' ability to safely perform tasks andutilizeadaptive equipment through observation and return demonstrations Collaborate with participants, caregivers, and family members toidentifycare needs and service gaps Participate as an active member of the Interdisciplinary Team (IDT) in developing, implementing, and updating participant care plans Partner with clinical and non-clinical team members, including rehabilitation, nutrition, and social services staff, to ensure a comprehensive understanding of participant needs Coordinate home care services to align with the participant's individualized care plan and goals Evaluate completed caregiver tasks andidentifyservices that arefrequentlydeclined, missed, or not completed as planned Review weekly home care notes and documentation toidentifyservice gaps, changes in participant condition, Service Determination Requests (SDRs), grievances, and other concerns requiring follow-up or escalation to theappropriate teammembers. Maintain current andaccurateauthorizations for home care services, ensuring services are aligned with participant needs and payer requirements Monitor authorization status and coordinate renewals to prevent interruptions in service Maintaintimely,accurate, and compliant documentation in electronic health records and operational systems Support quality improvement initiatives and compliance activities related to home care services Perform other related duties as assigned Required Qualifications: Minimum of two (2) years of clinical experience, preferably in home care, geriatrics, care coordination, primary care, or a related healthcare setting Knowledge of care planning, clinical assessments, and home care service delivery Ability to conduct comprehensive participant assessments andidentifychanges in condition or care needs Strong clinical judgment and critical thinking skills Excellent interpersonal, communication, and collaboration skills Ability to work effectively within an interdisciplinary team environment Strong organizational skills with the ability to manage multiple priorities and deadlines Proficiencywith electronic health records and healthcare documentation systems Valid driver's license, reliable transportation, and active auto insurancein accordance withstate requirements Demonstrates ability tousemotivational interviewing, trustbuilding techniques, andclear expectationsetting to support acceptance of clinicallyappropriate homecare hours and care recommendations. Preferred Qualifications: Active Licensed Vocational Nurse (LVN) license in the applicable state Experience working with older adult populations Experience in PACE, home health, home care, or managed care environments Experience with care coordination, utilization management, or authorization processes preferred Essential Functions & Physical Requirements The following statements describe the general nature of work and physical expectations common across roles at Habitat Health. Specific responsibilities may vary by position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Team members in this role may be expected to: Work in healthcare, administrative, community, or remote environments, depending on role needs. Communicate effectively with participants, caregivers, team members, and other stakeholders in person, by phone, and through electronic systems. Remain stationary and/ormove aboutfor extended periods, consistent with job duties. Operate standard office equipment and/or clinical tools (e.g., computers, phones, medical devices, documentation systems). Travel between work sitesorcommunity locations as needed. Follow safety procedures, infection control protocols, and use personal protective equipment (PPE) whenrequired. Perform tasks that may involve bending, reaching, lifting, orassistingparticipants, depending on role responsibilities. Lift, carry, push, or pull supplies, equipment, or materials typically up to 25–50 pounds, withassistanceor mechanical aids, depending on job duties and role responsibilities. Compensation Theanticipatedsalary range for this position is $29.00 - $36.00/hour. This position is also eligible for a target annual bonus of 5% and may be eligible foradditionalincentive compensation, as applicable. The final compensation offered will bedeterminedbased on factors including, but not limited to, the candidate's qualifications, skills, experience, education, certifications, geographical location, and business needs. In addition, this position is eligible for a comprehensive benefits package, including medical, dental, and vision insurance;paid parental leave,short- and long-termdisability coverage; life insurance; flexible spending accounts; a 401(k) savings planthat includes a match; paid time off; and companypaid holidays. At-Will Employment Employment with Habitat Health is at-will. This means that either the employee or the employer mayterminatethe employment relationship at any time, with or without cause, and with or without notice, subject to applicable law. Nothing in this job posting or any other company document is intended to create a contract of employment, express or implied, or to alter the at-will nature of employment. Any written or oral statements to the contrary are not authorized unless made in writing and signed by an authorized representative of the Company. To helpmaintaina safe environment for our participants and team members, Habitat Healthmaintainsvaccination and infection control policies applicable to certain roles and work locations. For COVID-19 and influenza, team members who are working in a participant care setting are required to provide either proof of vaccination or a signed declination form and comply with applicable masking requirements while in a care setting to the extent permitted by law in the applicable jurisdiction. Habitat Health will consider requests for reasonable accommodation based on an applicant's disability, medical condition, orsincerely heldreligious belief, practice, or observancein accordance withapplicable law. As a condition of employment, team members are expected to comply with all applicable infection control protocols, personal protective equipment (PPE) requirements, and vaccination requirements associated with their role and work location, and to the extent required by law and as permitted in the applicable jurisdiction. Our Commitment to Equal Opportunity and Inclusion Habitat Health is an Equal Opportunity Employer committed tothe principles of equal opportunity and inclusion.Employment decisions at Habitat Health are based on qualifications, merit, and business needs. We do not discriminate on the basis of race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender identity, gender expression, sexual orientation, marital status, registered domestic partner status, age, national origin, ancestry, citizenship, military or veteran status, physical or mental disability, medical condition, genetic information, reproductive health decision-making, or any other characteristic protected by applicable federal, state, or local law. Habitat Health is committed to the full inclusion of all qualified individuals. Consistent with applicable law, we provide reasonable accommodations to qualified individuals with disabilities and to individuals with religious beliefs, practices, or observances that require accommodation. If you requirea reasonableaccommodation toparticipatein the application or interview process, perform the essential functions of a position, or receive other employment benefits and privileges, please contact us at View email address on click.appcast.io . We encourage individuals from all backgrounds to apply, even if their experience does not align perfectly with every qualification listed. Habitat Healthparticipatesin E-Verify and will provide the federal government with information from your Form I-9 to confirm your authorization to work in the United States. If E-Verify cannot confirm your authorization to work, Habitat Health will provide you with written instructions and an opportunity to contact the Department of Homeland Security (DHS) and/or the Social Security Administration (SSA) to resolve the issue before any adverse employment action is taken, including termination of employment. E-Verify is used only after an applicant has accepted an offer of employment and completedthe FormI-9and to the extentpermittedbyapplicable law. Habitat Healthcomplies withall federal and state employment eligibility verification requirements. Voluntary Self-Identification For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file. As set forth in Habitat Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. 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Disabilities include, but are not limited to: Alcohol or other substance use disorder (not currently using drugs illegally) Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS Blind or low vision Cancer (past or present) Cardiovascular or heart disease Celiac disease Cerebral palsy Deaf or serious difficulty hearing Diabetes Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders Epilepsy or other seizure disorder Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome Intellectual or developmental disability Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD Missing limbs or partially missing limbs Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS) Neurodivergence, for example, attention‑deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities Partial or complete paralysis (any cause) Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema Short stature (dwarfism) Traumatic brain injury Disability Status Select... 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