Patient Care Coordinator - Homecare

UnityPoint Health

Requisition ID
US-IA-Cedar Rapids
290 Blairs Ferry Rd NE
9400 UnityPoint at Home Affiliate
Cedar Rapids
Admin- HC- CR
Scheduled Hours/Shift
Full-time: M-F, Daytime hours. Call hours rotation with other leaders.
Work Type (Portal Searching)
Full Time Benefits


UnityPoint at Home

Patient Care Coordinator

FT: M-F 8am-4:40pm with call rotation with other leaders


As a member of the clinical leadership team, assists in directing patient care in home care in accordance with professional nursing standards. Provides oversight of the delivery of direct patient care through care coordination and guiding the collaboration among the interdisciplinary team.


Key Accountability: Quality of Care

·         Regularly reviews available reports to ensure team is meeting process and outcome measures, including but not limited to: OASIS, potentially avoidable events, hospital utilization, HHCAHPS.

·         Assists in development in individual, team or regional action planning for quality of care areas in need of improvement.

·         Reviews documentation alerts and coordinates with clinicians to make timely corrections as needed.

·         Responsible for utilization management and review of plans of care and admission documentation.

·         Determines when case conference is needed based on review of high risk patients.

·         Reviews supplies and/or medications for formulary use and manages utilization.

·         Assists clinical supervisor(s) with identification of opportunities for improvement in productivity, quality, documentation, service delivery and attainment of financial outcomes.

·         Provides coverage for supervisor staff during absences and participates in leadership call responsibility as assigned by region.



Key Accountability: Care Coordination

·         Monitors care delivery of high risk patients and assists with care planning, visit scheduling, and phone call visits as needed.

·         Facilitates communication between the interdisciplinary team, physicians, patients and family members.

·         Facilitates case conferences to ensure care coordination and appropriate discharge planning.

·         Assists with facilitation of referrals to other services, community resources, etc. as needed.

·         Assigns cases to appropriate team members based on patient needs/acuity, patient location and clinical staff expertise.

·         Responsible for fulfilling the regulatory role of clinical manager

o    Making patient and personnel assignment.

o    Coordinating patient care.

o    Coordinating referrals.

o    Assuring that patient needs are continually assessed.

o    Assuring the development, implementation and updates of the individualized plan of care.

o    Is available (or assigns a designee) at all times during operating hours.

o    Ensures the quality of services offered and adequate staffing.



Key Accountability: Subject Matter Expert

·         Expert in service line rules and regulations

·         Reviews documentation to ensure compliance with state regulations, conditions of participation and payer requirements.

·         Ensures care delivery by team(s) is in compliance with state regulations, standards of professional practice by discipline, conditions of participation and payer requirements.

·         Super-user of electronic health record.

·         Responsible for OASIS and/or HIS review and accuracy.



Basic UPH Performance Criteria          

·         Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

·         Demonstrates ability to meet business needs of department with regular, reliable attendance.

·         Employee maintains current licenses and/or certifications required for the position.

·         Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

·         Completes all annual education and competency requirements within the calendar year.

·         Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.  Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.








Graduate of State Board approved program for Registered Nurses







  • 2-3 years home care and/or hospice case management experience
  • If fulfilling regulatory role of clinical manager must have 2 years of home care experience with one year of supervisory experience.

3-5 years home care experience with supervisory experience.






  • Valid driver’s license when driving any vehicle for work-related reasons.
  • Current license to practice nursing according to state where service is provided.
  • COS-C certification must be obtained within 12 months of hire
  • CPR Certification.
  • Valid Mandatory Reporter course completion by state requirement.
  • Person Centered Care (PCC) course completion within first 12 months of hire and annual completion of competency validation activities.







  • Strong interpersonal skills.
  • Ability to work as a team member.
  • Strong computer skills.
  • Ability to understand and apply guidelines, policies and procedures.
  • Strong organizational and time management skills.
  • Ability to critically think and make clinical decisions based on verbal and written communication.






Use of usual and customary equipment used to perform essential functions of the position.



Job ID: 76610

Posted 25 days ago

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