About TLC Homecare:ย
TLC is a small Home Health Agency providing services to vulnerable populations. TLC maintains an average census of 5 clients but aspires to grow to ~20 clients.
Primary Work Location: TLCTLC: This program delivers skilled home health services in non-traditional settings. Through a management agreement, Cardea Health operates TLC Homecare Inc., providing nursing and physical/occupational therapy directly to individuals in shelters, encampments, and other non-traditional environments. Services are designed to meet patients where they are, reducing barriers to care while supporting health, stability, and dignity. Eligibility is based on referral for skilled home health services, regardless of housing status, behavioral health conditions, or social instability.ย
Job Summary: ย
The Home Health Agency Practice Coordinator provides operational, administrative, and clinical support to ensure the efficient day-to-day functioning of the home health agency. This role serves as a key liaison between patients, caregivers, clinical staff, hospitals, and leadership while supporting admissions, patient coordination, compliance, and quality assurance processes. Ensures timely documentation, supports regulatory readiness, monitors patient care coordination activities, and helps maintain strong referral relationships to support agency growth and high-quality patient care.
Job Duties:
Patient Coordination & CommunicationAnswer phones and provide courteous, professional communication to patients, caregivers, referral sources, and staff
Follow up calls with patients and family members to ensure concerns are addressed appropriately
Coordinate communication with hospitals when patients are sent to the emergency room to confirm admission status and notify hospital staff that the patient is currently receiving services from the agency
Ensure timely follow-up care is scheduled when patients visit the ER but are not admitted
Track patient hospitalizations and ensure care coordination with clinical staff
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Admissions & Referral ManagementOversee patient admissions and referral processes to ensure timely intake and coordination of care
Collect required documentation for admissions and coordinate with billing staff for insurance verification
Confirm the physician responsible for overseeing patient care and coordinating admission scheduling with clinical staff
Monitor and manage incoming referrals daily through Careport and other referral sources
Medical Records & Documentation ManagementMaintain patient medical records in compliance with HIPAA and organizational policies
Ensure timely filing and processing of patient documentation and identify late documentation for follow-up
Send required medical record documentation to designated patient representatives or DPOAs when appropriate
Track physician orders sent for signature and follow up on outstanding orders to ensure timely completion
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Clinical Operations SupportNotify staff of patient admissions and ensure OASIS transfers and documentation are completed in a timely manner
Assist in scheduling visits and coordinating patient care activities with clinical staff
Participate in on-call triage to support patient needs and operational continuity
Quality Assurance & ComplianceAssist with quality assurance activities and regulatory survey readiness by maintaining organized documentation and reports
Conduct audits to support Joint Commission compliance and corrective action plans
Track and monitor quality indicators including infections, falls, medication errors, and hospitalizations on a weekly basis
Complete and monitor Electronic Visit Verification (EVV) reports to ensure accuracy and compliance
Systems & Administrative SupportServe as the Alora system superuser, providing support and guidance to staff on system use and troubleshooting
Monitor office supplies, medical forms, and inventory levels, placing orders as needed
Process incoming mail and ensure documents are scanned and distributed to appropriate leadership staff
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Agency Representation & Leadership SupportAct as a liaison representing the agency to hospitals, referral partners, and community stakeholders
Develop and maintain referral relationships to support patient intake and agency growth
Maintain scheduling coordination with clinical staff to ensure adequate coverage and patient care continuity
Provide operational support to agency leadership and assist with administrative initiatives as needed
Minimum Required Skills & Qualifications:
Minimum 1-2 years of experience in healthcare, preferably in home health, hospice, or outpatient care coordination
Knowledge of HIPAA regulations and patient confidentiality standards
Experience coordinating patient admissions, referrals, or care transitions
Proficiency using electronic medical record (EMR) systems and standard office software (Microsoft Office or equivalent)
Strong organizational skills with the ability to track multiple patient cases, documentation deadlines, and operational tasks simultaneously
Excellent communication and interpersonal skills to interact professionally with patients, families, clinical staff, hospitals, and referral partners
Ability to maintain accurate documentation and support regulatory compliance requirements
Preferred Skills & Qualifications:
1-2 years of experience in home health operations or clinical coordination
Experience working with home health EMR systems such as Alora Home Health Software or similar platforms
Experience with referral management platforms
Nursing experience and current nursing license
Prior experience supporting quality assurance, regulatory audits, or accreditation preparation (e.g., accreditation survey)
Experience tracking quality indicators such as infections, falls, medication errors, and hospitalizations
Familiarity with Electronic Visit Verification (EVV) compliance and reporting requirements
Experience serving as a system superuser or trainer for clinical software systems
Experience developing relationships with hospitals, referral partners, or community healthcare organizations
Previous experience in an intake coordinator, or home health operations role
Physical Requirements:
Occasional sitting or stationary work
Frequent standing, walking, kneeling, stooping, and ascending stairs
Occasional lifting and carrying up to 20 lbs
Frequent pushing and pulling
Frequent reaching high, low, and level
Work Environment:
Benefits:
Employees in this role may be eligible for a range of benefits, including:
- Employer-supported medical
Access to dental and vision insurance
Paid vacation and sick time
Retirement plan (401k) participation with a company match
Commuter benefits
Long Term Disability
Life Insurance
Eligibility for certain benefits may vary based on hours worked per week and length of employment
Specific details are provided in the benefits guide and are subject to change
Cardea Health and TLC is an Equal Opportunity Employer
Cardea Health is committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, genetic information, marital status, national origin, disability, citizenship or veteran status. We will consider qualified candidates with criminal histories in a manner consistent with the requirements of the state of California and San Francisco Fair Chance Ordinance.
This job description is not designed to contain a comprehensive list of activities, duties, or responsibilities for this role. Activities, duties, or responsibilities may change, or a new job description may be assigned at any time with or without notice.