Primary Responsibility and Duties Conducts assessments of client needs, support networks, isolation risk factors, financial status, living conditions, and functional ability. Mitigate concerns identified during the assessment process and those monitored during delivery. Provides ongoing service linkages within MOWCM and the community, and associated intervention for high-risk clients; monitors progress/status through face-to-face visits, and check-in telephone calls to ensure high quality, ongoing care that meets the clients' specific needs, and monitors' progress. Works with families and partners as appropriate to communicate concerns, offer support, and coordinate care to improve nutrition, independent living, and health. Provides targeted information to clients regarding appropriate community resources, facilitates process of application for services and offers education in the areas of nutrition, health, and home safety. Promptly and consistently documents all service interventions using the client data base, providing progress note summaries, and re-assessments as necessary. Secondary Responsibilities and Duties Provide training, assistance, mentoring, and oversight to other staff and interns who assist in identifying and serving high-risk clients. Network with other agencies to make them aware of Meals on Wheels of Central Maryland, Services, learn of their services, and create two-way referral networks, Stay abreast of community resources and best practices in senior nutrition and other services and maintain an up-to-date resources lists/materials manuals for assigned regions. Address all safety concerns and other emergent needs expediently, working with Adult Protective Services, Police, Medical Personnel, and others as needed. Protects the confidentiality and integrity of Protected Health Information (PHI) according to Meals on Wheels' relevant policies and procedures. Views, alters, retrieves, and stores PHI using company-defined, secure methods consistent with the tasks required of them.
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Job Type
Full-time
Career Level
Mid Level