Overview
Responsible for assessing and identifying resident needs and outside resources to meet those needs. Areas of assistance may include physical, mental, psychological and/or social as it relates to aging and supporting residents as they live independently. Enhanced Service Coordinators proactively help residents self-manage chronic diseases, link them to services such as PACE, and other available and appropriate services, and monitor the services provided. Planning interventions that have the best outcomes for specific residents and for the building population as a whole. Enhanced Service Coordinators also are frequently involved in identifying preferred providers and fostering a social support network for the residents.
Responsibilities
Initiates and completes assessment, interviewing residents, families and others in order to evaluate current condition and identify current or potential needs and services. Provide general case management and referral services Coordinate communication between residents, family members, medical staff, administrative staff, or regulatory agencies. Coordinate services for optimal living (i.e. aging in place and wellness philosophies). Assist in the coordination of home care services to enable independent living and aging in place. Coordinates counseling, occasional visits from a nurse, preventative health screening/wellness and legal advocacy, meals-on-wheels services and transportation. Establishes and coordinates volunteer and/or support programs. Maintain knowledge of community services and resources available to patients. Establish relationships with local service agencies and providers and continually monitors quality and effectiveness. Assists residents with building informal support networks consisting of their residents, family and friends. Explain policies, procedures, or services to residents. Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field. Provide training to residents, volunteers and staff on topics such service availability, application procedures, resident rights, health/safety/fitness, issues relating to aging etc. Provide Administration with regular status reportsWork cohesively with Administrator, Lead Service Coordinator, Director(s) of Housing, and other team members, in a manner that promotes open and appropriate communication and dialogue. Identifies and reports resident violations to appropriate authorities, including Administrator, Lead Service Coordinator, Director(s) of Housing, where appropriate.Maintain accurate, complete, updated files (both computer and hard files) on clients, programs and activities Report clinical issues to me Hannan Assistant Director of Service Coordination. Attend and participate in all appropriate meetings and training opportunities in order to keep informed on current information and skill development. Follow established policies and procedures including but not limited to: - Presbyterian Villages policies and procedures.
- Safety policies and procedures.
- Federal, state and local regulations.
All other duties as assigned Qualifications
Education : Education commensurate with associates or Bachelors degree preferred.
Experience : Two to four years related experience
Computer Skills
- Must have high level of PC literacy particularly
- Proficient with MS Outlook, MS Word, and MS PowerPoint.
- Previous experience in CareGuide, AASConline, RealPage or other similar software
Other Requirements
- Knowledge of HUD regulations and restrictions
- Knowledge of Fair Housing
Source : Presbyterian Villages of Michigan