Coordinator Of Care

Overview

• Coordinate and evaluate home care needs for patients, ensuring effective care plans and positive clinical outcomes.
• Conduct initial assessments and create interdisciplinary patient-centered home health plans of care.
• Collaborate with physicians and caregivers to update and implement care plans.
• Provide direct bedside nursing care and manage acute needs for discharged patients.
• Ensure compliance with insurance requirements and coordinate activities for individual care plans.
• Work full-time, Monday to Friday, with occasional weekend on-call duties.
• Field-based role requiring visits to patients' homes or facilities within the Brooklyn area.
• Engage in virtual and in-person interviews during the hiring process.

Key Responsibilities & Duties

• Perform initial patient assessments and develop comprehensive home health care plans.
• Coordinate and manage care services to minimize risks of rehospitalization.
• Provide bedside nursing care to patients with acute needs at home.
• Collaborate with physicians, caregivers, and family members to ensure effective care delivery.
• Review patient insurance information and ensure compliance with coverage requirements.
• Participate in interdisciplinary team discussions to optimize patient care plans.
• Manage on-call duties one weekend per month, providing support as needed.
• Complete pharmacy tests and training requirements as part of onboarding.

Job Requirements

• Associate of Applied Science (AAS) degree required; Bachelor of Science in Nursing (BSN) strongly preferred.
• Registered Nurse (RN) certification mandatory.
• Minimum of 2 years of experience in hospital, acute care, Med/Surg, COC, CHHA, or nursing home settings.
• Field-based role requiring a valid driver’s license and reliable transportation.
• Proficiency in case management and interdisciplinary care coordination.
• Ability to conduct virtual and in-person interviews during the hiring process.
• Strong communication skills to interact with patients, families, and healthcare professionals.
• Commitment to providing high-quality care and achieving positive patient outcomes.