TITLE: Care Coordinator
(Full-time – 40 hours/week) –
Provide in-home assessment with frail and vulnerable older adults, develop a plan of care, coordinate necessary services and resources and provide on-going follow up and monitoring. The ability to work as a member of an interdisciplinary team is required. Experience working with family caregivers and older adults with physical and/or cognitive limitations preferred. Bachelor’s degree in a Human Service field preferred, or 2 years Case Management experience. Reliable transportation required to conduct home visits with clients in Midland County. Computer skills required. We offer mileage reimbursement (IRS mileage rate of $.70), competitive pay, benefit package and holiday pay. No nights, weekends or on-call. Must pass pre-employment drug test and background checks.
QUALIFICATIONS
Education/Training: Bachelor’s degree in a Human Service or related field and/or equivalent
Case Management experience.
Experience: Experience in Case Management. Experience working with older adults and family
caregivers. Experience in Case Management Assessment process, development of Care Plans,
knowledge of Medicare and Medicaid and social service resources preferred.
Job Requirements: Strong critical thinking skills to define problems and issues to generate new
insights and solutions. Relationship building skills, ability to relate to individuals and show each
individual respect and compassion without crossing professional boundaries. Ability to
collaborate, negotiate, consult, mediate and network to best meet the needs of clients and
advance Agency presence and understanding in the community. Good customer service skills.
Accurate and effective written and verbal communication. Ability to work effectively as a
member of an interdisciplinary team. Must have strong organizational and computer skills, and
be able to work independently without close supervision.
JOB GOALS: Promote health, maintain independence and maximize client abilities through an
accurate client assessment. Develop a Care Plan, coordinate and/or advocate for needed
resources and services and provide on-going reassessment and monitoring.
REPORTS TO: Care Coordination Director
PERFORMANCE RESPONSIBILITIES:
1. Information and Access
a. Provide Information and Access to incoming callers to the Agency, conduct intake for
internal referrals and/or refer caller to appropriate agency/service(s). Timely and
effective follow-up.
2. Care Coordination
a. Conduct Care Coordination Assessment with the older adult to develop a Care Plan
and recommend services and supports based on assessment findings and client
eligibility/need.
b. Provide family/caregiver support and information within the guidelines of client
confidentiality.
c. Help clients make informed decisions by acting as their advocate and providing clear,
easy to understand information on their options.
d. Assist in securing/coordinating services and resources as per client approval and Care
Plan.
e. Monitor provision of services and assistance (internal and external) as noted in the
client’s Care Plan, making adjustments based on client’s changing situation.
f. Provide follow-up and reassessment as directed by client/caregiver need and/or
Agency policy.
g. Leads efforts to resolve client ethical issues or conflicts/complaints, including Program
Director as appropriate.
h. Assures accuracy in program service delivery and documents in CAREeVantage,
Network Assessment and client paper file.
i. Develop fiscally responsible decisions when accessing grants or service options to
address client needs.
j. Community Outreach, serves as liaison with other health and social service agencies to
maintain thorough knowledge of community resources, and to encourage referrals to
Senior Services.
k. Work with department staff to actively pursue and maintain a library of services and
resources for clients, both electronic and paper materials.
3. Data Management and Reporting
a. Complete and submit necessary reports.
b. Maintain program/service records in CAREeVantage, Network Assessment, and in
client paper file.
4. Other
a. Assure confidentiality of all client records and information.
b. Maintain an awareness of and follow Senior Services Policies and Procedures with
special emphasis on safety, and emergency procedures as well as following common
sense practices.
c. Works with Program Director, Manager and Care Coordination team to develop
strategies to achieve department goals.
d. Utilize supervision for continual professional development and support.
e. Fosters positive, professional attitude and behaviors.
f. Must have reliable transportation in order to make home visits with older adults in
Midland County, valid driver’s license and automobile insurance.
g. Complete initial training and maintain on-going certification for Medicare Medicaid
Assistance Program (MMAP) in order to provide assistance to older adults.
h. Attend meetings, workshops and trainings that are relevant to job responsibilities or
Agency requirements.
i. Understands and supports Agency mission and maintains advance knowledge of
Agency programs and services.
j. Perform other tasks and assume other responsibilities as assigned.
