• Provide case management to assess residents for assistance and self-disclosed care needs; assist residents with ongoing delivery and receipt of services in response to changing needs and/or circumstances. 
• Monitors the on-going provision of services, establishes links and builds relationships with all agencies and service providers in the community to ensure that the necessary services are available and delivered in a collaborative and efficient manner to benefit residents.
• Make appropriate referrals to service providers on behalf of residents based upon needs and requests.
• Establishes and develops ongoing education presentations, wellness programs, obligations of tenancy presentations and on-site approved services for residents.
• Serves as resident advocate and teaches residents how to advocate for themselves.
• Serve as a liaison to the external community, helping to educate community organizations about the resident services role/program, and develop partnerships to support the residents to age in place. 
• In collaboration with local hospitals/SNF’s/Assisted Living locations and their personnel, review discharge plans to help and ensure timely follow-up of needed supports and coordination of care for residents discharged from the emergency department, hospital, skilled nursing facility, or home health care. 
• Develop informal and formal support networks with other residents, family and friends in an effort to support residents to age in place.
• Interpreting / Translating: Provide language services to Residents with limited English proficiency. Facilitate effective communication between two parties that do not speak a similar language by converting spoken, signed, or written language to another.

• Engage and motivate residents, including socially isolated individuals, to enroll in the program and be active participants in improving/maintaining their health and well-being. 
• Provides necessary support to residents related but not limited to eviction, crisis prevention, and conflict resolution
• Manage onsite transportation program by creating monthly trips to facilitate necessary services within the community
• Creates, organizes and manages PUPM funds and programs at sites with available funding
• Establish and maintain communication channels with community agencies and property management staff to appropriately share information concerning residents and identify ways in which resident needs can be efficiently addressed. 

• Basic computer proficiency, including ability to maintain data in an electronic database, communicate via e-mail, use internet, and operate word processing software to create program materials. 
• Must have foundational computer skills including: Microsoft Office Suite (Outlook email and calendaring) and the Internet
• AASC Online and HUD provided Software; not required at the time of employment

• Bachelor’s degree in Social Work, Gerontology, Psychology or Counseling or equivalent combination of education and experience
• Must be bilingual (English/Cantonese-Mandarin)
• Ability to advocate, organize and problem-solve 
• Ability to translate verbal and written communication into easily understandable language and to communicate at appropriate literacy and cognitive levels 
• Understanding of and sensitivity to the needs of low-income older adults and persons with disabilities
• Ability to establish positive and collaborative relationships with residents, staff and community-based providers
• Experience working with older adults and special needs 

• Constantly (6-8 hours per day) – Sitting, Using hands to finger, handle or feel (computer operation) 
• Occasionally (Up to 3 hours per day) – Standing, Walking, Stooping/Bending, Reaching with hands and arms, Lifting of up to 20 lbs

Job Summary