Geriatric Support Services Coordinator

AgeSpan•Lawrence, MA

22h•Hybrid

About The Position

Since 1974, AgeSpan has been dedicated to supporting individuals in making their own decisions, securing independence, and remaining in their communities. The agency fosters a stimulating, friendly, and collaborative work environment, valuing diversity and encouraging career growth. AgeSpan is recognized for its innovative programs and solutions, offering a supportive culture that encourages employee development and work-life balance, including flexible workplaces, generous paid time off, and wellness programs. The Geriatric Support Services Coordinator (GSSC) will conduct health and functional assessments for elders enrolled in Senior Care Organizations (SCO), develop and monitor service plans to promote client health and independence, and work with an interdisciplinary team to ensure effective coordination and delivery of care in the member's home.

Requirements

BA/BS in social work, human services or related field plus experience with Elders in a Health Care setting required.
Associates Degree with significant relevant work experience may be substituted for a portion of degree.
Strong written, verbal, and computer skills necessary to work successfully in an interdisciplinary team required.
Must have valid Driver's License and reliable transportation.
A bilingual capacity in English along with either Spanish or Khmer is required.

Responsibilities

Conducts initial and ongoing assessments on new members/enrollees and completes the required assessment tools and computer data entry.
Conduct field visits to assess an older adult's physical, social, emotional and environmental status to determine their eligibility and needs in their homes in accordance with contract compliance.
Collaborates with the SCO RNCM to develop community care plans.
Supports and advocates for person centered planning.
Arranges, coordinates and authorizes the provision of appropriate non-medical services.
Finds resources and services in the community that support members independence and wellness.
Monitors the outcomes of the developed community care plan.
Acts as a liaison between the SCO and many ASAP disciplines.
Participates in the organization and promotion of health-related programs and activities.
Attends Primary Care Team meetings and Member Discharge Meetings as required.
Participates in Team meetings, Managed Care Clinical Meeting, Managed Care Staff Meetings, and activities as a team member.
Work collaboratively within the team when difficult scenarios and issues arise within a teammate's caseload.
Other duties as assigned by Managed Care Program Manager.