Case Manager - Care Coordinator

TITLE:

Care Coordinator

QUALIFICATIONS

Education/Training:

Bachelor's degree in a Human Service or related field and/or equivalentCase Management experience.

Experience:

Experience in Case Management. Experience working with older adults and familycaregivers. 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 newinsights and solutions. Relationship building skills, ability to relate to individuals and show eachindividual respect and compassion without crossing professional boundaries. Ability tocollaborate, negotiate, consult, mediate and network to best meet the needs of clients andadvance Agency presence and understanding in the community. Good customer service skills.

Accurate and effective written and verbal communication. Ability to work effectively as amember of an interdisciplinary team. Must have strong organizational and computer skills aswell as be able to work independently without close supervision.

JOB GOALS

Promote health, maintain independence and maximize client abilities throughan accurate client assessment. Develop a Care Plan, coordinate and/or advocate for neededresources and services and provide on-going reassessment and monitoring.

REPORTS TO

Care Coordination Director

PERFORMANCE RESPONSIBILITIES

1. Information and Accessa. Provide Information and Access to incoming callers to the Agency, conduct intake forinternal referrals and/or refer caller to appropriate agency/service(s). Timely andeffective follow-up.2. Care Coordinationa. Conduct Care Coordination Assessment with the older adult to develop a Care Planand recommend services and supports based on assessment findings and clienteligibility/need.b. Provide family/caregiver support and information within the guidelines of clientconfidentiality.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 andCare Plan.e. Monitor provision of services and assistance (internal and external) as noted in theclient's Care Plan, making adjustments based on client's changing situation.f. Provide follow-up and reassessment as directed by client/caregiver need and/orAgency policy.g. Leads efforts to resolve client ethical issues or conflicts/complaints, including ProgramDirector 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 toaddress client needs.j. Community Networking to serve as liaison with other health and social service agenciesto maintain thorough knowledge of community resources, and to encourage referrals toSenior Services.k. Work with department staff to actively pursue and maintain a library of services andresources for clients, both electronic and paper materials.3. Data Management and Reportinga. Complete and submit necessary reports.b. Maintain program/service records in CAREeVantage, Network Assessment, and inclient paper file. 4. Othera. Assure confidentiality of all client records and information.b. Maintain an awareness of and follow Senior Services Policies and Procedures withspecial emphasis on safety, and emergency procedures as well as following commonsense practices.c. Works with Program Director, Manager and Care Coordination team to developstrategies 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 inMidland County, valid driver's license and automobile insurance.g. Complete initial training and maintain on-going certification for Michigan State HealthInsurance Assistance Program (SHIP) to provide Medicare and Medicaid assistance toolder adults.h. Attend meetings, workshops and trainings that are relevant to job responsibilities orAgency requirements.i. Understands and supports Agency mission and maintains advance knowledge ofAgency programs and services.j. Perform other tasks and assume other responsibilities as assigned.