Care Coordinator- Aging Services

Care Coordinator- Aging Services

The Care Coordinator-Aging Services plays a vital role in supporting the health and well-being of enrollees by coordinating and managing their care. This includes assessing each enrollee’s needs and helping them access necessary services and support to better understand and manage their health. The position is responsible for the ongoing monitoring of services as outlined in the enrollee’s support plan, addressing health concerns, promoting preventative care, and navigating health insurance matters as they arise. A key responsibility is conducting MNCHOICE assessments, a web-based tool used to assess and create support plans for individuals in need of long-term services and supports. The Care Coordinator also determines eligibility for and coordinates services within the Elderly Waiver program, which funds home and community-based services such as transportation, chore services, homemaker services, and home-delivered meals. Additionally, the Care Coordinator enters essential data into computer systems, including service agreements and screening documents, to facilitate the elderly waiver case mix budget and enable payment for services billed through the enrollee's health insurance. This role also includes completing rate tools and determining payment for customized living settings. The overarching goal is to ensure that individuals aged 65 and older maintain independence in their daily lives.

Starting Pay

Social Worker / Public Health Nurse : DMB Rating : C42 – Step 1 $36.44

Registered Nurse DMB Rating : C41 – Step 1 $34.58 / hour

Position is open until filled, with a priority deadline of noon on Monday, February 17th,2025

Job Description

Minimum Qualifications of Education and Experience :

Bachelor's degree in Social Work, Nursing or related field; 2 years related experience; or an equivalent combination of education and experience or Associates degree in Nursing; 1-year related experience

Required License (s) :

Incumbents in this class typically require :

• Valid driver’s license or evidence of equal mobility is also required.

Nature of Work :

The first level of the Human Services Case Management series is responsible for performing professional and / or program or case management duties for significant community programs, support areas or service offerings with significant impact on County operations. Incumbents have appreciable latitude for determining the appropriate actions, decisions, or processes to use due to their professional knowledge and experience. Responsibilities

may include drafting internal procedures for assigned programs; planning programs; evaluating the impact of changes in regulation on programs; assisting with program budget; investigating reports of maltreatment of individual adults or children; completing mental health assessments and reporting the results; assisting clients in determining level of support required; and providing support to clients with varying disabilities to live independently. This position also includes the utilization of and monitoring of both state and federal funded programs for various resources in supporting clients.

In this classification level work is primarily non-routine in nature, with general goals and objectives; requires

a comprehensive knowledge and skill of the assigned area or function and applying or adapting established processes and procedures to complete the assigned responsibilities.

Positions assigned to Social Worker (Aging Services) may be responsible for :

Essential Work Functions (Illustrative only) :

Frequency

Band

Conducts comprehensive initial and on-going assessment interviews to evaluate individuals’ physical, economic, educational, and mental background; develops case plans and makes recommendation for clients in assigned program areas. Engage with clients in active decision making.

Daily

Coordinates regular client / team contact via phone, home visits, office visits, or site visits with other agencies involved in the case plan. Engages client and team in active decision making regarding next steps.

Daily

Brainstorms and develops solutions and interventions which includes monitoring and evaluating clients’ progress in meeting goals and expectations of the case plan; prepares and maintains progress reports.

Daily

Completes ongoing detailed documentation of clients’ participation in case records, on-going case narratives; compiles data for various reports, summaries, and memos; completes mandated State and local forms and adheres to program deadlines.

Daily

Provides and / or arranges supportive social work services such as financial assistance with childcare, transportation, clothing, education / training, and additional referrals to outside agencies.

Daily

Performs other duties of a similar nature or level.

As Required

N / B

Level of Decisions :

Knows fundamental concepts, practices and procedures of assigned field. Assignments are broad in nature, usually requiring some originality and ingenuity to ensure an appropriate alignment between assignments

and program policies and objectives.

Direction Received / Provided :

Work is performed under general direction, applying procedures and standards to specific situations. May provide direction / guidance and delegate tasks to others on work methods and procedures.

Knowledge, Skills and Abilities Required :

Persons with Disabilities :

The above is a general listing of job duties. Essential and non-essential functions may vary by individual position. Reasonable accommodations may be available for both essential and non-essential job duties.

Physical Demands and Work Environment :

Work is performed primarily in clients' and service providers' homes, detention, treatment and residential facilities, schools, courts and County work sites. Frequent travel may involve exposure to inclement weather conditions, unsanitary conditions in homes, communicable illnesses and diseases and unsafe environments. Travel outside of town is likely to be required. Direct service provision may require dealing with persons who

are hostile, aggressive, abusive or violent, posing threatening conditions.

Semi-sedentary involving office and outside field work. Lifting requirement may include lifting up to 20 pounds. Exposures may include but not be limited to disagreeable odors, communicable diseases, bodily fluids and behavior challenges. Use of general office equipment to include telephone, cell phone, pager, personal computer, laptop computer, electronic recorder, calculator, etc. Additional physical / mental requirements

that occur may not be listed above but are inherent in performing the position's essential functions.

Disclaimer :

This description is intended to describe the kinds of tasks and levels of work difficulty being performed by people assigned to this classification. The list of responsibilities is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Access to Not Public Data :

A county employee in this position may encounter Not Public Data as defined by Minnesota or federal law in the course of the job duties. Any access to Not Public Data should be strictly limited to accessing the data that is necessary to fulfill the defined job duties. While data is being accessed, the employee should take reasonable measures to ensure the Not Public Data is not accessed by unauthorized individuals. Once the work reason to access the data is reasonably finished, the employee must properly store the Not Public Data according to the applicable provisions of Mower County employee policies and Minnesota or federal law. All employees are expected to become familiar with and comply with the requirements of the County’s Data Practices and Data Security Policies and a breach of these policies may lead to disciplinary action against the employee.

Salary : $35