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Careers in Home Care
Home Care Alliance of Massachusetts

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Careers in Home Care & Hospice

Home care & Hospice agencies employ thousands of people in Massachusetts, from executives and directors, to aides, to marketers, to human resource professionals, to nurses, to therapists. Visit the New England Home Care Career Center to explore job openings from across the region.

Accounting Clerk

Responsible for the accounts payable/purchase order system and reconciling vendors' monthly statements against the agency's listing of accounts payable. Responsible for purchase orders, invoices, packing slips and processes for payment.

Account Exec./Marketing Specialist

Responsible for implementing the overall sales and marketing plan within a specific territory. Generates referrals, coordinates, and markets all contracts.

Admission RN

Evaluates referrals and makes determination of appropriateness of clients admitted. Completes all required documentation upon admission. RN licensure required.

Administrative Assistant I

Performs simple, routine, clerical tasks, and computer entry of various transactions. Functions may include some typing, copying and filing of various documents.

Administrative Assistant II

Performs secretarial duties which are routine in nature. Types correspondence. Maintains personal files, arranges meetings, and screens calls.

Bachelor of Science in Nursing (BSN)

Those who earn their BSN often find themselves in high demand and available to start management-level careers. There are two tracks: either attend a four-year college program and receive both a BSN and an RN license; or — for those already RNs — attend a BSN bridge program, which typically runs between 16 months and three years, depending on your time and needs. Graduate degrees in nursing – both at the Masters (MSN) and Doctoral (DNP) levels – are also available.

Billing Clerk

Processes, verifies, bills and coordinates billing matters including Medicare or Medicaid, if applicable. Records payments and reconciles remittance advices. Follows-up on claims denials, pending and aged claims. Performs various functions in the preparation of Medicare/Medicaid billing.

Business Office Manager

Manages the collection and processing of data for billing, statistics, and medical orders. Directly supervises administrative, clerical, and volunteer staff.

Case Manager/Team Leader

Responsible for assignment and coordination of activities for a multidisciplinary team (nurses, therapists, home care aides, specialists). Communicates with referral sources, clients, payors, physicians and field staff. Provides continuity of essential clinical and financial information. Monitors productivity and client outcomes.

Chaplain/Spiritual Care

Provides clients and members of the family with pastoral care and religious counseling by making routine visits. Performs religious rites or makes provisions with an appropriate religious leader to do so.

CIO/IT Director

Responsible for the overall management of IT systems. Directs and coordinates systems, programming, operational activities and equipment acquisition.

Clinical Assistant (EMR)

Provides administrative support to clinical department. Inputs EMR data, processes, distributes, and maintains records. Provides administrative support as needed.

Clinical Supervisor

Provides direct supervision and clinical oversight of visiting staff. Responsible for case assignments, follow-up with interdisciplinary staff, communication with clients, physicians, and referral sources. Serves as a clinical resource and educator for field staff.

COO/Program Director

Reports to CEO or parent organization of multi-site chain/branch. Responsible for assisting and coordination of agency activities for all departments. In hospital-based agencies, reports to hospital ED/CEO.

Director of Clinical Services

Responsible for administration of client care services. Plans, implements, and directs nurses/clinical services to assure quality care and appropriate quantity of services. Has authority and responsibility for operation of programs. Interprets policies and regulations to all nursing personnel and ensures compliance.

Communications/Marketing

Responsible for the development and implementation of plans for the profitable growth and competitive position of the agency. Supervises marketing employees. Responsible for the placement of marketing advertisements and media selection.

Dir of Reimbursement

Manages the agency billing function by planning, organizing and supervising all reimbursement. Manages the coordination of documentation necessary for reimbursement, Medicare Compliance, and control of receivables.

Discharge Planner

Manages and facilitates the safe and timely transfer of clients from a hospital or skilled nursing facility to the care of the home care program. Evaluates the clients referred to determine appropriateness for admission.

EMR Coordinator

Assists staff with EMR software training, daily activities, reporting, and problem solving. Responsible for providing EMR expertise, resources, user training, and direction.

Executive Assistant

Performs administrative/secretarial duties for CEO and/or other key executives requiring extensive knowledge of organization, policies, and procedures. Deals with correspondence and documents of a confidential and sensitive nature.

Executive Director/CEO

Top level position in the agency. Is owner or reports to Board of Directors. Responsible for profitability, planning and overall administration. Accountable for all activities and departments. Administers, directs, and coordinates activities.

Home Care Aide (HCA I)

Assists with environmental services such as housekeeping and homemaking services in order to preserve a safe, sanitary home and enhance family life. The Home Care Aide I does NOT provide personal care. May also be called chore worker or homemaker.

Home Care Aide II (HCA II)

Provides non-medically directed personal care. May also be called personal care attendant.

Home Care Aide III (HCA III)/CNA

Provides personal care services under a medically supervised plan of care. Meets federal and/or state training and licensure requirements. May also be called home health aide.

Home Care Aides

Home Care Aides (HCAs) are the front line caregivers for elders and the disabled residing in a variety of community settings including private homes, senior housing, and assisted living residences. They provide one-on-one supportive and personal care – everything from housecleaning to medical support – enabling people to live safely and comfortably in their own homes.

HCAs are selected on the basis of such factors as a sympathetic attitude toward the care of the sick, maturity, and ability to deal effectively with the demands of the job. They generally work without direct supervision from supervisory staff employed by their home care agency. Many home care aides find their work extremely rewarding.

To become an HCA, an individual must be able to read and write, communicate effectively with clients and agency staff, follow care plan directions and schedules, and pass a criminal background check.

Home Care Consultant

Responsible for matching client needs with services the agency has to offer. Specializes in all of the agency’s service lines and service areas.

Home Health Medical Coder

Reviews documentation and provides coding and sequencing using current ICD-10 CM coding and guidelines. Also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes.

Homemakers (Home Care Aide I)

Homemakers provide assistance with tasks such as shopping, menu planning, meal preparation, laundry, and light housekeeping. Homemakers must complete 40 hours of training and participate in up to six hours of additional trainings each year to review their skills.

Hospice Program Director

Responsible for the direction and overall functions of the hospice program within the home health agency. (Directors of stand-alone hospices should be reported in the Hospice survey.)

Human Resources Coordinator

Responsible for coordinating policies and procedures of the human resources department such as hiring and recruiting, training and development, maintaining employee records, etc. Reports to Top Level HR Executive.

Human Resources Generalist

Assists in human resources functions including program development, implementation, and maintenance. Administers human resource policies and programs including recruitment, retention, employee relations, training, compensation and benefits.

Intake Coordinator

Coordinates maintains, and implements admissions process for each client. Processes referrals and inquiries and communicates referral information. RN or LPN licensure required.

Licensed Practical Nurse (LPN)

Licensed Practical Nurse (LPN) programs take approximately one year to complete. In Massachusetts, an LPN’s scope of practice is limited. While it’s the quickest, least expensive track to becoming a nurse, it also offers fewer opportunities for advancement and lower salaries. Though LPNs often receive their licenses in the course of earning an associate degree, the certification does not require a degree.

Medical Director

Directs, plans, and coordinates client care in establishing and implementing standards of medical service, and advises Executive Director/CEO on medical questions and policies.

Medical Records Clerk

Performs a variety of clerical tasks related to client admission/discharge process and records. Verifies discharge information as reported on discharge form. Processes and verifies fees.

Nurse Practitioner

Serves as liaison between the clinical staff and the administrative operational staff. Plans and evaluates the clinical management of clients. Evaluates treatment plans, medications, and other necessary care. Can also provide comprehensive client care.

Occupational Therapist

Plans and provides program for the treatment of physical and psychological dysfunctions. Involves such activities as arts and crafts, practice in functional prevocational and vocational skills, and activities of daily living. Meets state educational and licensure requirements to practice.

Payroll Clerk

Performs various calculations of payroll including withholding, deductions, and other payroll functions. Job duties may be coordinated with automated payroll computer service. Job requires coding payroll data for computer processing.

Homemakers (Home Care Aide II)

Personal care homemakers assist clients with tasks such as bathing, dressing, foot care, denture care, shaving, eating, and ambulation. Personal care homemakers complete 60 hours of training and must also participate in up to six hours of additional trainings each year to review their skills.

Physical Therapist

Organizes and conducts medically prescribed therapy program for clients involving exercise, massage, heat, water, light, and electricity. Evaluates, records, and reports client progress. Meets state educational and licensure requirements to practice.

Practical Nurse (LPN/LVN)

Provides services under the direction of RN, consistent with the agency’s philosophy, policies, and standards of care. Meets state educational and licensure requirements to practice.

Quality Improvement

Responsible for coordination of quality improvement activities such as utilization review, clinical risk management, and client satisfaction. May be responsible for oversight of agency regulatory and accreditation compliance.

Receptionist

Greets and directs visitors entering the premises. Operates phone system to take and relay incoming calls. Performs simple, routine clerical and typing tasks.

Registered Nurse (RN)

A Registered Nurse (RN) is the next type of nurse that you can become. Typically, this takes approximately two years to achieve. Nurses who go through a RN program receive either a nursing certificate or an associate degree in nursing (ADN or ASN). Registered nurses can work in many areas. If you eventually want to enter management, education, or advanced practice, you’ll need a bachelors degree in additions to your RN and should enroll in a combined program.

Respiratory Therapist

Performs respiratory modalities. Sets up and operates various types of oxygen and other therapeutic gas and mist equipment. Meets state educational and licensure requirements to practice.

Speech/Language Pathologist

Examines and provides remedial services for clients with speech and language disorders. Conducts, screens, evaluations, assessments and client treatments. Meets state educational and licensure requirements to practice.

Staff Development Liaison (RN)

May also be called Orientation Nurse. Responsible for the orientation and continuing education program of all employees (professional and paraprofessional).

Staffing/Scheduling Coordinator (RN)

Coordinates and maintains scheduling for staff. Coordinates and manages the daily workload of staff providing direct care. RN licensure required.

Supervisor of Rehabilitation Services

Responsible for planning, developing, and facilitating the implementation and the evaluation of occupational therapy, physical therapy, and speech/language pathology programs. Provides clinical consultation. Responsible for monitoring the performance of the therapists. License in area of specialization required.

Systems Support Specialist

Responsible for the support and implementation of IT systems and telecommunication technologies. Tasks include end user support, license tracking, documentation, PC maintenance and repair, upgrades and configurations.

Financial Executive

Top level position in Finance Department. Responsible for direction and coordination of activities concerned with financial administration, budgets, general accounting, client business services, financial and statistical reporting.

Human Resources Executive

Plans, develops, and administers personnel policies. Formulates, implements, and supervises programs relative to selection, orientation, training, promotion, and welfare of all personnel and all employer-employee relationships.

Volunteer Manager

Organizes and directs a program for recruiting, screening, training, retaining, and utilization of volunteer workers who contribute their services to supplement work of regular staff.