Elderbridge Agency on Aging is seeking a Service Specialist.

Full job description 

Case Management – Accept client referrals from and carry out Case Management responsibilities under the direction of the Lifelong Links Director.

• Accept referral and complete an intake per program guidelines.
• Complete a comprehensive assessment.
• Develop a service plan
• Implement services and provide ongoing monitoring
• Conduct Medicare Screen and applicable applications on all Medicare eligible clients requesting Material aid assistance
• Follow-up and reassessment of the client:
• Monthly client/collateral contact via telephone or in-person
• Annual face-to-face reassessment unless needed sooner due to client status change
• Client discharge/transfer
• Records and documentation in WellSky database to include:

o Intake form

o Comprehensive Assessment

o Mental Status Questionnaire

o Personal Health & Safety Plan

o Releases of Information

o Service Plan including signature page

o Record of referrals and requests

o Correspondence related to the case

o Case Notes documented in WellSky Journals and Activity & Referrals

o Enter Service Deliverables in WellSky for billable and non-billable activity

Options Counseling –

• Population includes 18-59 year olds with disabilities, Caregivers, individuals age 60+
• Utilize person-directed approach with the consumer to engage and discuss their goals.
• Assess needs, values, and preferences in order to discuss options.
• Explain pros and cons of various options and support persons to facilitate decision making.
• Develop person-directed action plan to support their decisions.
• Identify existing consumer resources and supports.
• Advocate for consumer decisions about services and supports.
• Identify available resources to address unmet needs.
• Make referrals or facilitate access to services, including assistance in completing applications or making phone calls.
• Enter all client interactions into the WellSky Database on a daily basis and maintain all client documentation.
• Provide follow up to determine how well the action plan is working or if it needs to be revised.
• Conduct Medicare Screen and other applications on Medicare eligible clients requesting Material aid assistance
• Make presentations to consumers, service-providers, and other community groups as requested and approved by your supervisor.
• Attend staff meetings and training events.
• Performs other duties as assigned.
• Inform USA certification required.

REQUIRED QUALIFICATIONS:

• Bachelor’s degree in a human services field
• License to practice as a registered nurse
• License to practice as a licensed practical nurse and four years of experience working in the areas of aging, disabilities, community health or hospital discharge planning; OR
• Bachelor’s degree and two years of experience working in the areas of aging, disabilities, community health or hospital discharge planning; OR
• Associate’s degree and four years of experience working in the areas of aging, disabilities, community health or hospital discharge planning;
• Must become trained and/or certified with Inform USA within 12 months and Adult/Child Mandatory Reporter within 6 months of employment.
• Must successfully complete the Person-Centered Counseling curriculum provided by the aging network.

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance