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Open nowFirst seen 9 hours ago

Start of Care Specialist

homeinstead-dubuqueia5 open roles

Where
Dubuque, IA
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Your applicationOpen nowStart of Care Specialisthomeinstead-dubuqueia · Dubuque, IA

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  5. 33.7%30 days
This job: first seen 9 hours ago

The posting

Start of Care Specialist

Home Instead | BHC Inc.

Help Care Start Strong — and Stay Strong

Starting care is only the beginning.

The real measure of success is whether the client feels supported, the family feels confident, the Care Professional knows how to succeed, and the care plan actually works in the home.

That’s where our Start of Care Specialist comes in.

We’re looking for an experienced, confident care professional who can step into new client situations, observe what is really happening, support and coach Care Professionals, identify problems early, and help turn a new Start of Care into Stable Care.

This is a field-first role for someone who doesn’t just notice problems — they help solve them.

What You’ll Do

As a Start of Care Specialist, you’ll work primarily in client homes during the critical period when new care is being established.

You will:

  • Participate in new Starts of Care based on client needs and stabilization priorities.
  • Work alongside Care Professionals when hands-on training and support will help them succeed.
  • Help Care Professionals understand each client’s routines, preferences, care needs, home environment, and Plan of Care.
  • Observe care in real life and identify when written instructions don’t match what is actually happening.
  • Coach Care Professionals with respectful, direct, in-the-moment feedback.
  • Identify safety concerns, care gaps, caregiver-fit concerns, and other issues before they become larger problems.
  • Partner closely with Client Care, Scheduling, Care Pro Success, and Operations to solve barriers to stable care.
  • Document what you observe, what was done, what needs to happen next, and who owns the next step.
  • Maintain an active group of new clients working toward stability and help move each one forward.

What Success Looks Like

Your goal is not simply to complete a Start of Care.

Your goal is to help create Stable Care.

That means helping us reach four outcomes:

A Plan of Care that works. The written plan accurately reflects the client’s real routines, preferences, expectations, and care needs.

A confident client and family. They feel heard, supported, and comfortable with how care is working.

A confident Care Professional. The Care Pro understands the client, knows what good care looks like in that home, and feels prepared to return.

A consistent schedule. The right Care Professionals are successfully covering the client’s needed hours without ongoing scrambling or re-matching.

You May Be a Great Fit If You…

  • Have strong hands-on client-care experience and feel confident working in private homes.
  • Notice the little things other people may miss.
  • Can quickly build trust with clients, families, and Care Professionals.
  • Are comfortable demonstrating care, observing others, and providing respectful coaching.
  • Can give direct feedback without making someone feel defeated.
  • Stay calm when a situation doesn’t go according to plan.
  • Ask good questions instead of guessing.
  • Know when something can be coached and when it needs to be escalated.
  • Communicate clearly with both field and office teams.
  • Take ownership and follow issues through instead of simply passing them along.
  • Can adapt to different personalities, homes, routines, and care situations.
  • Believe documentation and communication are part of delivering excellent care.

This Role Is Different

This is not an office-only position, and it is not a traditional caregiving assignment.

You’ll go where the care is happening.

Some days, that may mean working side-by-side with a Care Professional during a new Start of Care. Other days, you may return to a client’s home to understand why something isn’t working, coach a Care Pro through a difficult routine, identify a care-plan gap, or help the team determine what needs to change.

You’ll need the judgment to know when to observe, when to coach, when to step in, and when to bring a concern back to the larger team.

The work requires flexibility, strong follow-through, and comfort operating in real-life situations where the answer isn’t always obvious at first.

What We’re Looking For

A strong candidate will bring:

  • Meaningful client-care experience and confidence in the field.
  • Strong observation and critical-thinking skills.
  • Clear, professional communication and documentation.
  • Emotional steadiness and sound judgment.
  • Strong professional boundaries.
  • Confidence coaching and giving feedback.
  • Willingness to collaborate across departments.
  • Reliable transportation and the ability to travel throughout the service territory.
  • Ability to use required systems for scheduling, communication, care planning, and documentation.
  • Willingness to complete required company onboarding, orientation, training, and competency requirements.

Because this is a field-first position, the schedule may vary based on new Starts of Care and client stabilization needs.

The Kind of Person Who Thrives Here

You care deeply about people — but compassion alone isn’t enough.

You follow through.

You tell the truth about what is actually happening.

You build connection with clients, families, and Care Professionals while maintaining professional boundaries.

You collaborate instead of working in a silo.

And when something isn’t working, you’re willing to think creatively and help find a better path forward.

At BHC, our work is grounded in Compassion, Connection, Collaboration, Creativity, Integrity, and Accountability.

Those values aren’t just words on a wall. In this role, they show up in how you enter a client’s home, how you coach a Care Professional, how you communicate a concern, and whether you stay engaged until the next step is clear.

Why This Role Matters

The first days of care can determine whether a client relationship becomes stable and sustainable — or whether small problems grow into complaints, caregiver frustration, schedule instability, and preventable crises.

You’ll have the opportunity to change that trajectory.

You’ll help Care Professionals walk into homes more prepared.

You’ll help families feel more confident.

You’ll help Plans of Care become more accurate.

And you’ll help our team solve the little things early — before they become big things.

Start of Care → Stable Care

If you’re an experienced care professional who wants to use your field experience, judgment, communication skills, and ability to develop others to make care work better, we’d love to meet you.

Compensation & Growth

We believe in developing leaders from within.

This role offers:

  • competitive compensation
  • leadership development opportunities
  • career growth potential
  • a collaborative and supportive team culture
  • meaningful, mission-driven work

Apply today to join Home Instead / BHC Inc. as a Start of Care Specialist.

Each Home Instead® office is an independently owned and operated franchise of Home Instead, Inc., an Honor Company.

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