Wellness Coordinator Medford 40 hour

Hebrew Rehabilitation Center • Roslindale, MA

13d • Onsite

About The Position

The Wellness Coordinator works at Riverside Towers, part of HSL’s enhanced housing-with-services program for seniors. The program proactively engages residents around health and wellness, identifies needs and risks, and provides individualized case management and support to help residents live independently and safely. The Wellness Coordinator plays a lead role in the R3 Initiative by conducting wellness assessments and health education, connecting residents with services, coordinating activities with the Nurse Care Manager, and documenting and tracking interventions. The role also ensures communication and coordination among residents, families, housing staff, emergency responders, payers, and local providers.

The position involves developing wellness plans across physical, social, cognitive, spiritual, and mental health domains; coordinating care and referrals; supporting transitions between care settings; and helping residents set and pursue personal health goals. The coordinator participates in care planning and outcome tracking, works with housing staff and external providers, and provides advocacy and family liaison support. Some travel in the Boston metro area for site visits and meetings is required. This is an on-site position.

Requirements

• Master’s degree in social work or a human service field and 1–2 years of case management or care coordination experience in aging services strongly preferred; alternatively, a bachelor’s degree with 3–5 years of experience is required.
• Compassion for and a desire to work with seniors.
• Excellent organizational and interpersonal skills, including the ability to manage multiple projects and work efficiently and proactively as part of a team.
• Professional, proactive, collaborative, conscientious, and results-oriented approach.
• Optimistic and positive demeanor, excellent oral and written communication skills, good intuition, and sound judgment.
• Motivation to learn and flexibility to change.
• Ability to collect needed information and document clearly in AASC Online software.
• Computer literacy, including experience with Windows, Word, PowerPoint, and Excel.
• Ability to travel in the Boston metro area for site visits and meetings.
• Ability to lift, push, and pull 25 pounds and to stand, walk, drive, and sit during scheduled work times.

Nice To Haves

• Certification in Dementia Care preferred.

Responsibilities

• Conduct resident wellness assessments and develop plans addressing physical, social, cognitive, spiritual, and mental health needs and goals.
• Coordinate with primary care physicians, mental health providers, hospitals, and other care partners.
• Partner with housing staff to tailor programming to resident needs and educate staff on identifying and communicating concerning changes in residents’ conditions.
• Help residents complete files with important health care information, end-of-life planning, and emergency contacts.
• Follow up with at-risk residents to support adherence to health and wellness activities and connect them with on-site and off-site services.
• Develop relationships with payers serving seniors at the sites.
• Implement communication systems between housing staff and providers to share important information, including changes in condition, care transitions, and changes in behavior or activity.
• Coach residents in self-care, help them identify personal goals, and coordinate programs, services, and care providers to support those goals.
• Partner with and refer residents to appropriate local service providers, including Visiting Nurses Associations, ASAPs, rehabilitation services, PACE programs, adult day health programs, and memory evaluation programs.
• Participate in or lead care-planning meetings at the housing site.
• Assess residents with dementia and make appropriate referrals.
• Work with the Nurse Care Manager to plan, schedule, and implement evidence-based programs.
• Coordinate with local hospitals, HSL Home Care, and/or VNA case management to support safe discharges and appropriate services.
• Assist residents with transitions to other levels of care, conduct family meetings, and attend off-site team meetings when needed for care coordination and discharge planning.
• Advocate for residents and serve as a liaison for families.
• Coordinate and participate in tracking metrics and measures and creating outcome reports.
• Document clearly in AASC Online software.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level