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Care and Services Coordinator

Bismarck, Minot

Full Time -   : Open until filled

As the Care & Services Coordinator you are responsible for the coordination of all home care services for PACE participants in their home. 

Primary Responsibilities

  • Assesses participants’ home care needs and completes Home Care Assessment during intake, semi-annual and annual re-evaluations, as needed
  • Collaborates with participant and participant’s family and/or designated contact regarding plan of care
  • Arranges for all home care services to participants including but not limited to: nursing visits, certified nursing assistant visits, laundry services, housekeeping services, shopping, etc.
  • Coordinates all Durable Medical Equipment in participant’s home
  • Ensure the participant has all service interventions implemented to remain living safely in their home according to care plan
  • Ensures participants care plan is reflective of all interventions that occur in participants’ home
  • Participates in weekly interdisciplinary team meeting by giving an accurate picture of participant home environment
  • Collaborates with other PACE disciplines regarding participants medical and psychosocial needs at home
  • Attends outside medical appointments with participants when an escort is required
  • Maintains accurate records of all services in EMR for care provided to participants at home
  • Assists with teaching and training caregivers regarding home care needs of participants
  • Completes PASSR screening initially and annually
  • Assists at intake and enrollment assessment with coordination of enrollment process

Employment Specifications


  • Degree in Nursing, Social Work, OT, PT or other related healthcare field from an accredited college or university.  Experience may substitute for degree.
  • At least two years’ experience in healthcare field.
  • One year’s experience with frail or elderly population preferred.

Licensure, registry or certification required:

  • If licensed, professional license must be current
  • Proof of a valid driver’s license, good driving record and auto insurance as required by state law

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