Senior Living Social Worker (Service Coordinator)

Summary:  The Service Coordinator assumes responsibility for coordinating programs and services to help residents maintain a good quality of life and age in place. Assisting in assessing and identifying resident and family needs and outside resources to meet those needs. Areas of assistance may include physical, mental, psychological and/or social as it relates to aging and moving in/moving out.

1. Responsible for networking with community organizations, and seeking affordable and new services to offer residents.
2. Initiates and completes psychosocial assessments, interviewing patients, families and others in order to evaluate current condition and identify current or potential adjustments.
3. Provides general case management (and referral services) and maintains complete and updated resident files. Monitor and manage supportive services where necessary.
4. Service Coordinator meets requirements outlined in Quality Assurance Review Process and Semi-Annual File Review Process (Reviews). The Reviews capture resident assessments, resident programs, policy compliance, and Education and Wellness Programs.
5. Complies with all Federal and State confidentiality regulations including but not limited to HIPAA.
6. Coordinates services for optimal living (i.e. aging in place and wellness philosophies).
7. Utilize appropriate documentation system to track all work done with residents. Completes all required paperwork with all residents who want to utilize the Service Coordination program.
8. Completes Care Plans/Quarterly Monitoring with residents needing referrals and follows up on all services at and after implementation.
9. Submits Semi-Annual Performance Reports to HUD in order to maintain funding for the Service Coordination program at the property.
10. Provides Administration with regular status reports, including preparation and possible presentation to the board.
11. Identifies and reports resident violations to appropriate authorities.
12. Engage all residents to identify areas of need, and make necessary referrals. Organize and promote resident involvement in on and off site programs.
13. Assists in the coordination of home care services to enable independent living and aging in place. Including development of a Resource Directory that include a list of service providers. Continually educates residents (and staff) on a variety of matters including service availability, application procedures, resident rights, health/safety/fitness, issues relating to aging etc.  Sponsor educational events related to health care, agency support, life skills and referral sources. Assists in the coordination of meals-on-wheels services, transportation, and any other service needs of residents.
14. Coordinates counseling, occasional visits from a nurse, preventative health screening/wellness and legal advocacy.
15. Embraces, upholds and promotes Presbyterian Villages of Michigan's mission, vision, beliefs, values, strategic goals, objectives, Service Excellence and Servant Leadership.
16. Creates and maintains a positive atmosphere of customer service, including continuous quality improvement, teamwork, mutual respect and professionalism.
17. Attend and participate in all appropriate meetings and training opportunities in order to keep informed on current information and skill development.
18. Follow established policies and procedures including but not limited to:

• Presbyterian Villages policies and procedures.
• Safety policies and procedures.
• Federal, state and local regulations.

   19. All other duties as assigned

Education: Minimum degree in social work, psychology or gerontology preferred.

Experience: Two or more years of experience in a social service delivery with elderly and/or family population. Demonstrated working knowledge of supportive services and other resources in the area served by the project. Demonstrated ability to advocate, organize, problem-solve, and provide results for the residents served.

SKILLS/ABILITIES: Good communication, comprehension and interpersonal skills.

Working knowledge of Windows, Microsoft Office Suite and resident software data systems (AASC online, Care Guide, RealPage or similar related systems, etc)