POSITION SUMMARY
The GUIDE NaviGuide Service Coordinator is responsible for providing comprehensive dementia care for people living with dementia and their caregivers. This includes scheduling and completeing all required GUIDE assessments, creating and updating a person-centered service plan and coordinating programs and services to assist GUIDE beneficiaries in maintaining the highest quality of life in their preferred home setting and providing education, guidance, and support to their caregivers.
GUIDE NaviGuide Community Service Coordinator
- Complete all required GUIDE assessments including FAST, ZBI-22, PROMIS-10, HRSN and comprehensive assessments.
- Create person-centered service plan; update to reflect changing needs
- Act as family support system and provide any community resources needed for clients and caregivers
- Act as a liaison between clients, caregivers, their primary care physician (PCP), the GUIDE interdisciplinary team, community agencies and service providers; seeking out new services to meet client’s needs
- Maintains and updates resident files in electronic medical record, including but not limited to intake information, all assessments. Service plan, referrals, progress notes, family and provider meeting or communication notes
- Ability to deliver home visits during inclement weather
- Maintain client, family and provider meeting and communication notes
- Ability to commute daily for client home visits
- This position requires daily travel to client homes and community service providers, as well as any trainings, conferences, and other company events
General Essential Functions
- Assists and educates clients or residents and families to acquire and utilize community services necessary to maintain a self-reliant lifestyle.
- Acts as a liaison between community agencies, service providers, and clients or residents; seeks out new services, identifies low-cost providers, and/or negotiates discounts.
- Monitors the delivery of services to clients or residents to ensure services are appropriate, timely, and satisfactory.
- Maintains a resource directory of available community services.
- Maintains professional relationships with all clients or residents in the housing community to identify areas of need and make referrals to community agencies as necessary.
- Maintains resident files, including but not limited to intake information, assessments, service referrals, termination information, quarterly reviews and follow-up, documentation of human or civil rights violations, and resident/family/provider meeting or communication notes.
- Conducts quarterly Quality Service reviews and follow-up.
- Submits all required reporting data within specified timeframes.
- Networks with service providers to maintain necessary relationships and pursue additional service opportunities through private, local, state, and federal sources.
- May require travel for conferences, training, and other company events.
- Performs all other duties as assigned or directed.
UCH Engage Housing Service Coordinator
(Includes all General Essential Functions listed above)
- Promotes wellness activities for all residents, including arranging onsite or mobile healthcare services and screenings; encourages residents to proactively address social, psychological, and physical needs.
- Coordinates educational events for residents, families, and staff regarding community resources (healthcare, home- and community-based supports, benefits programs, life skills programs), including referral processes and eligibility requirements.
- Assists residents in building informal support networks with other residents, family members, and friends.
- Coordinates volunteer support programs with community service organizations.
NaviGuide Community Service Coordinator
(Includes all General Essential Functions listed above)
- Completes all required GUIDE assessments, including FAST, ZBI-22, PROMIS-10, HRSN, and comprehensive assessments.
- Create and updates person-centered service plans to reflect changing client needs.
- Acts as a family support system and provides necessary community resources for clients and caregivers.
- Serves as a liaison between clients, caregivers, primary care physicians (PCPs), the GUIDE interdisciplinary team, community agencies, and service providers; seeks out new services to meet client needs.
- Maintains and updates resident files within the electronic medical record, including intake information, assessments, service plans, referrals, progress notes, and meeting/communication documentation.
- Conducts home visits, including during inclement weather.
- Ability to commute daily for client home visits.
- Requires daily travel to client homes, community service providers, and attendance at trainings, conferences, and company events.
POSITION QUALIFICATIONS
Competency Statement(s)
- Accountability - Ability to accept responsibility and account for his/her actions.
- Analytical Skills - Ability to use thinking and reasoning to solve a problem. Ability to analyze, monitor and evaluate programs and services.
- Advocacy Skills – Ability to intercede or provide support on behalf of another to accomplish a task.
- Assessment Skills – Ability to synthesize information from residents and the housing community based on comprehensive, multidimensional assessments.
- Communication, Oral - Ability to communicate effectively with others using the spoken word.
- Communication, Written - Ability to communicate in writing clearly and concisely.
- Customer Oriented - Ability to take care of the customers’ needs while following company procedures. Provides excellent service to internal and external customers. Ability to establish culturally appropriate relationships.
- Detail Oriented - Ability to pay attention to the minute details of a project or task.
- Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.
- Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace.
- Initiative - Ability to make decisions or take actions to solve a problem or reach a goal.
- Interpersonal - Ability to get along well with a variety of personalities and individuals. Ability to communicate empathetically. Ability to help enhance residents’ motivation for change and cultivate hope while addressing ambivalence and barriers to change.
- Organized - Possessing the trait of being organized or following a systematic method of performing a task.
SKILLS & ABILITIES
Education:
- Bachelor’s degree in social work – preferred.
- GUIDE NaviGuide: Associate degree in Nursing, Social Work, or Gerontology – preferred.
Experience:
- Two (2) or more years of experience in social service delivery to the elderly population.
- Working knowledge of community resources within the geographic service area.
- GUIDE NaviGuide: Experience working with individuals living with Alzheimer’s disease, dementia, or in gerontology – preferred.
Computer Skills:
- Must be able to proficiently operate a computer, the Internet, Microsoft Office, other relevant software, and basic office equipment
Certifications & Licenses:
- Membership and familiarity with the American Association of Service Coordinators – helpful.
- Driver’s license required; must meet company vehicle insurance and driving record standards.
- GUIDE NaviGuide: Certified Dementia Practitioner (CDP) or equivalent preferred.
Other Requirements:
Proven experience in service management or facilitation, including organizing, problem-solving, and advocating; Must be able to read, write, understand and speak the English language; Must have strong interpersonal and communication skills; Must be able to work closely with residents, family members, legal representatives, and housing community staff; Must function independently, have a high level of flexibility and personal integrity; Must be able to adhere to all terms and conditions set forth in the United Church Homes Employee Handbook
Job Types: Full-time, Part-time
Pay: From $20.00 per hour
Expected hours: 24.0 – 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Work Location: On the road
