Supportive Housing Service Coordinator - 15 Hours per Week

Description

Episcopal SeniorLife Communities Mission:

We provide high quality services from skilled nursing and restorative care to housing, assisted living and community-based wellness programs. We are committed to meeting each individual’s needs, in a culturally competent manner, supporting family and loved ones through transitions, and fulfilling our pledge… Life. Inspired Every Day.

15 Hours per week

 Starting Pay Rate - $23.50 hourly 

The Service Coordinator is responsible for working cooperatively with older adults and their supports to identify goals and locate the specific support services that enhance their well-being and maintain ESSHI funded housing in our Supportive Housing Program. ESSHI known as the Empire State Supportive Housing Initiative is a grant funded housing program that provides housing to 55 + adults who are homeless or at risk of being homeless with active Medicaid who can benefit from service coordination services. The Service Coordinator functions as a core member of a collaborative care team that involves health and wellness coordinators, community specialists, natural supports, mental health care providers and other community support providers. The Service Coordinator is further responsible for assuring that there is adequate coordination, appropriate communication, and maximum cooperation between all sources of support and services for the individual. 

ESSENTIAL JOB FUNCTIONS:

• Support and closely coordinate all care needs with the Participant, his/her natural support, other community providers and any medical professionals as needed.
• Complete Health and Wellness Assessment and care plans at time of move in and every 6 months. 
• Use Health and Wellness Assessments and care plans to help Participants reach desired goals.
• Participate in food delivery and distribution to residents.
• Facilitate support groups  
• Participate in team meetings to ensure communication with the team on a bi-weekly basis. 
• Participate and possibly facilitate required and requested meetings between Participant, natural supports, service providers, and any other designated individual.
• Document all encounters with the program Participants, participant providers, other agencies, and supports.
• Ensure each Participant has the tools and support needed to maintain housing in the community.
• Facilitate referrals for indicated services (e.g., social services such as housing assistance, vocational rehabilitation, substance abuse treatment, day program, medical doctors).
• Complete all required documentation pertaining to any service the individual is enrolled in and be able to meet all required timelines and timeframes in accordance with the program regulations.
• Assist Participants in attending programs using both verbal encouragement and providing in-person support during programs, as needed.
• Inform residents of local resources including the ESLC Neighborhood Program. Then support Participants and Neighborhood Program Participants in the program.  
• Cross training and cross coverage for Medicaid Waiver Service Coordination Programs (Traumatic Brain Injury and Nursing Home Transition Diversion) as needed. 
• Attend weekly, monthly, and quarterly meetings.
• Ensure Participants always maintain active Medicaid and assist with benefit management for any other benefits the person has.

Requirements

QUALIFICATIONS:

• Bachelor’s degree in Social Work or related field preferred. Associate degree with 2 years of experience working with homeless individuals who have co-occurring mental health, substance abuse, and physical health problems will qualify.
• Valid New York State Driver's License required.
• Reliable transportation
• Flexible, yet organized, with the ability to exercise independent, sound judgment.
• Must be knowledgeable about all community resources’, Medicaid Services, and available non-Medicaid services.
• Demonstrated ability to collaborate effectively in a team setting.
• Ability to maintain effective and professional relationships with participants and other members of the care team.
• Strong communication skills.
• Ability to effectively engage participants in a person-centered relationship.
• Ability to meet with participants in their apartments and common areas of the building.
• Working knowledge of differential diagnosis of common mental health and/or substance use disorders, when appropriate.
• Computer skills required including but not limited to the ability to work within a Windows OS, and the ability to create, save, open, close, and forward electronic documents and emails.
• Ability to organize your day and work