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Home Care Coordinator Registered Nurse

Company: West Baltimore PACE Community Coalition LLC
Location: Baltimore
Posted on: February 18, 2026

Job Description:

Job Description Job Description JOB SUMMARY The Home Care Coordinator, Registered Nurse role offers a unique opportunity at a new PACE (Program of All-Inclusive Care for the Elderly) program in West Baltimore within the framework of a supportive, innovative and expert leadership team and company. Together with our coalition of strong partners within the community, the Home Care Coordinator, Registered Nurse will work closely with the Clinic Manager, RN to carry out our clinical model of care and have a transformative impact on a particularly under-served community in West Baltimore. The Home Care Coordinator, Registered Nurse is responsible for the planning and monitoring of in-home services, hiring and ongoing supervision of the Home Care Scheduler and Home Healthcare Aides (HHAs). ESSENTIAL DUTIES AND RESPONSIBILITIES Serves as a required member of the Interdisciplinary Team (IDT) and in initial, semi-annual, unscheduled, and annual assessments; attend morning updates and report changes in participants’ baseline status to appropriate staff on a daily basis. Involved in the development and implementation of QAPI activities. Ensure that the home care schedule is accurate and that participants are allocated enough time/services. Provide back-up for the scheduler when indicated. Develop and update policies and procedures as they pertain to in-home services. Plan for adequate staffing of in-home workers Provides in-home care to participants. Responsible for supervision of homecare personal care attendants and homecare LPN. Coordinate service orders with contracted home care agencies, monitor delivery of services and monitor quality of services provided by home care contractors. Assure that documentation for home care is accurate, current, and that the home care charts are up to date. Provide follow-up for home care complaints as specified in thePACE of West Baltimoreprogram grievance policies and procedures; document complaints per PACE program grievance policy. ProvideaccurateandtimelyutilizationandPACE of West Baltimoredata. Provide on-call coverage during center hours of non-operation. Maintain confidentiality regarding participant, staff, contractor, and organizational information. Additional responsibilities will be added at managers discretion, as career growth opportunities and responsibilities are constantly arising in our flexible and start-up environment. QUALIFICATIONS Minimum of two (2) years of demonstrated successful experience in home care; prefer in-home care management experience. Experience in the provision of nursing care, includingassessmentskills, health education, and current nursing treatments and protocols. Effective management skills. Knowledge ofutilizationreview,qualityimprovementand cost containment systems. Effective oral and written communication skills. Knowledge of the principles and techniques involved in relating to frail elderly personsrequired Mustsubmitto and pass a pre-employment screening and criminal background check Must have a current Driver’s License and driving record mustbe in compliance withCompany policy. Mustmaintaincurrent automobile insurance. Must have up to date vaccinations according to CMS/PACE of West Baltimoreguidelines including vaccination against the seasonal flu and Covid -19 Must have working knowledge of computers and Microsoft Office applications. Operates in full compliance with all applicable federal, state and local fire, health, safety, sanitation, Emergency procedures and other standards prescribed in law or regulations. SUPERVISORY RESPONSIBILITIES: Home Care Scheduler and Home Healthcare Aides (HHAs ABOUT PACE of West Baltimore PACE of West Baltimore is an integrated, home and community-based care model designed to help seniors maintain their independence and remain part of their communities for as long as safely possible. We care for our participants through a harmony of center-based services and personalized in-home care, spanning clinical, behavioral, and social services. PACE (Program of All-Inclusive Care for the Elderly) is a proven, cost-effective care model, saving states an average of 13% versus other Medicaid services, including nursing homes and community-based waiver programs. PACE of West Baltimore at Town Center’s unique approach to PACE is enhanced by our deep expertise in in-home care, clinical geriatrics, data analytics, and virtual care technology, all for the purpose of improving the health and quality of life of our patients. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. PACE of West Baltimore is an Alcohol/Drug/Smoke-Free Workplace PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Requirements:While performing the duties of this job, the employee isfrequentlyrequired to stand; walk; lift heavy objects; sit; use hands to finger, handle or feel objects, tools, or controls; talk, see,hearand smell. Requires full range of body motion, manual and finger dexterity, and eye-hand coordination; requires the ability to use department equipment, to communicate effectively; The employee is occasionally required to reach and stretch with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee maybe requiredto endure extremes in temperature and may work in hazardous environments where personal protective equipment isrequired. Requires the ability to lift/carry up to 50 pounds and push or pull objects exceeding 150 pounds, usingappropriate bodymechanics. Visual, Hearing, and Communication Requirements: Requires corrected vision andhearing towithinnormalrange, with or without reasonable accommodation. Must be able to communicate effectively in verbal and written form with all levels of personnel within and outside of the organization. Pressure Factor: Requires working under stressful conditions. Moderate pressure to meet scheduled and recurring deadlines. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Environmental Conditions: Working conditions may be noisy with fluctuating indoor temperatures. Must have the ability to work under moderate pressurein order tomeet scheduled appointments or deadlines while dealing with frail, disabled and/or confused participants/clients. Subject to individuals who may have the potential for physical or verbal aggression. May be exposed to a risk of bodily injury through contact with moving instrumentation, toxic substances, medicinal preparations, bodily fluids, communicablediseasesand other conditions common in a clinic environment. Subject to unpleasant odors.

Keywords: West Baltimore PACE Community Coalition LLC, Baltimore , Home Care Coordinator Registered Nurse, Healthcare , Baltimore, Maryland


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