Supports Coordinator, SW

Supports Coordinator, Social Worker (Supporting Quality Department)

Summary:  Under the direction of the assigned supervisor, responsible for: the assessment of the social, emotional, and environmental needs of participants; the development of participant plans of care, negotiation of community health services required under the plans of care; and on-going monitoring and re-assessment of participants.

Reports to: Chief Quality Officer

Essential Duties and Responsibilities:

• Conduct comprehensive in-home participant assessments.
• Utilize social work skills to gather and analyze social and environmental data from initial assessments.
• Work with family members and other volunteer caregivers to maximize available services to the participant.
• Develop a plan of care identifying needed services, supports, and interventions.
• Arrange and coordinate delivery of needed services.
• Monitor participant plans of care to assure delivery of needed services.
• Evaluate and modify plans of care as required.
• Establish and maintain liaison with nursing home administrators, hospital discharge planners, human services providers, home care agency staff, and other community resources.
• Assist other care managers with questions resulting from reassessments and other situations in clinically complex cases.
• Participate in regular staff meeting and training events.
• Participate in community events to teach, assist and advocate.
• Maintain regular and punctual attendance
• Perform other duties as assigned.

Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

• Bachelor’s degree in Social Work (Master’s degree preferred), or grandfathered in under the state of Michigan qualifications.
• Social Worker license from the state of Michigan.
• At least one year experience in the field of aging.
• Able to analyze varied environmental factors in relation to participants’ well being.
• Working knowledge of health related service delivery systems.
• Good interview and telephone skills, as well as the ability to deal with older adults in a caring and helpful (assertive and tactful) manner.
• Good communication and relationship skills.
• Strong computer fundamentals and proficiency with Microsoft Office products.
• Fluency in Spanish is a bonus.

Physical Demands:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to sit and use hands and fingers, handle or feel objects, tools or controls. The employee is occasionally required to stand and walk. The employee must be able to travel in all kinds of weather.