Care Coordinator (PASSPORT)

Central Ohio Area Agency On Aging•Columbus, OH

15h

About The Position

The Care Coordinator assesses individuals’ needs and coordinates services that support their health, safety, and independence. The role includes conducting in-home assessments and event-based visits; developing individualized care plans; connecting clients with community resources; and advocating for their well-being. Care Coordinators collaborate with clients, families, and service providers while providing ongoing case management, monitoring services, and maintaining documentation. The position alternates between fieldwork conducting home visits and work in a traditional office setting to complete documentation and care-plan follow-ups. Desks are assigned during the training period; some programs may require desk sharing, docking, or remote work after training. Up to 24 hours of weekly telework may be available after the initial training period with supervisor approval. Staff must use personal vehicles.

Requirements

Active Ohio LSW or RN license.
Valid driver’s license, reliable transportation, and proof of insurance.
Experience completing home visits.
Experience connecting individuals to resources and services.
Strong attention to detail and time-management skills, including balancing home visits and documentation timelines.
Proficiency using electronic health records.
Ability to maintain accurate case notes and client records.
Active listening skills, empathy, and a supportive approach with clients.
Cultural competency to support clients from diverse backgrounds.
Knowledge of community resources.
Passion for working with older adults and people with disabilities.

Nice To Haves

One year of case management experience.
Bachelor’s degree.

Responsibilities

Conduct in-home assessments and event-based visits.
Assess individuals’ physical, emotional, social, and environmental needs.
Develop and implement individualized care plans based on client needs, preferences, and available resources.
Coordinate and monitor services such as home care, transportation, meals, housing, and medical appointments.
Provide ongoing case management, including follow-ups, care-plan adjustments, and crisis intervention as needed.
Advocate for clients’ rights and promote culturally competent, person-centered care.
Maintain accurate and timely documentation in accordance with agency and regulatory requirements.
Help clients and families understand available options and navigate service systems such as Medicare and Medicaid.
Participate in team meetings, training, and professional development opportunities.
Follow the program contact and visit schedule.