This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more The Community Home Care Coordinator is responsible for planning, coordinating and documenting care for an assigned referral of patients. Utilizing provider orders and professional skills the Community Home Care Coordinator, in conjunction with the case managers develops and implements a home health plan that meets each patient's specific needs and is in compliance with accrediting organization standards, federal and state regulations, reimbursement guidelines, as well as the VAMHCS policies and procedures. The Community Home Care Coordinator processes all VAMHCS referrals for Skilled Home Healthcare, including Home Skilled Nursing, Home PT/OT, and Home IV Infusion services. The Community Home Care Coordinator also performs duties as follows: 1. Reviews referrals to ensure that they are complete and contain all necessary information and signatures. The requirements for skilled home health include: a provider face to face encounter within 90 days, specific detailed orders for services requested, names and contact numbers for ordering physicians who must be Maryland licensed and PECOS enrolled if utilizing Medicare benefits. 2. If additional information or approvals are necessary, communicates with the appropriate staff to obtain same to ensure proper processing of referrals. The coordinator may need to contact the appropriate case manager or ordering physician for clarification or direction. 3. Completed referrals are then assigned to appropriate home health agencies, based on availability, service area, payment source, services required and start of care date. The coordinator should make every effort to distribute referrals equitably among all agencies on a documented rotation cycle. 4. If Community Care contractor network or Veteran's Care Agreement is being utilized, the Community Care department staff are notified of the agency to be used and start of care date so that they can provide Community Care authorization to agency. Assigned agency name and contact information will be included on all consult referrals. 5. Referrals are closed immediately using "Geriatric Extended Care Referral Response Consult" note (or other note per policy), alerting all pertinent staff, to ensure that all parties involved know which agency is being assigned and start of care date. In addition the Community Home Care Coordinator is also responsible for running various reports including the daily report of service consults pending resolution which ensures that no consults are inadvertently overlooked. The Community Home Care Coordinator also facilitates communication between agencies and VA staff to optimize patient care and assure timely delivery of same, provides assistance to VA staff in completing consults correctly, and assistance to community agencies in navigating the VA system. The coordinator is responsible for educating staff on appropriate consult processes. The coordinator also communicates with Veterans, families, caregivers, community providers and vendors concerning issues that might arise during the referral process. The Community Home Care Coordinator is also responsible for documenting and reporting any patient care issues or complaints regarding vendors for quality assurance purposes and communicate this in writing to the appropriate VAMHCS supervisor. He/she is accountable for adhering to established policies, standards of care and standards of practice. The coordinator demonstrates leadership and excellent customer service when interacting with the VAMHCS team, Veterans, families, caregivers, vendors and the community. Work Schedule: Monday thru Friday - 8am-4:30pm Financial Disclosure Report: Not required NOTE: Telework available per agency policy NOTE: THIS IS NOT A VIRTUAL POSITION
Internal Number: 599134800
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.