Wellness Coordinator Boston 40 hour (Bi-lingual English-Cantonese or Mandarin required

Job Description:

I. Position Summary:

HSL provides enhanced housing with services to seniors living in its four affordable housing locations, and at partner housing sites, with the goal of improving quality of life and supporting independent living.
This is a 40 hour, in person role in Downtown Boston. At its core, enhanced housing with services is a proactive approach wherein resident services staff regularly and actively reach out to each individual resident to engage with them around their health and wellness, identify areas of need/risk and provide intensive, individualized case management and support as needed and desired by the resident.

The Wellness Coordinator (WC) serves a lead role in the R3 Initiative engaging residents in wellness assessments and health education programs, connecting residents to needed services, providing a wide variety of case management tasks, coordinating activities with the Nurse Care Manager, and ensuring that all interventions are documented and tracked. This role requires a leader with a flexible, can-do attitude.

The Wellness Coordinator is directly responsible for assuring that there is excellent communication and coordination with all team members and local providers to support residents in living independently and safely for as long as possible.

Please note that this location is T accessible; there is no parking available.

II. Core Competencies:

• Commit to the organization’s core values of respect, dignity and empowerment.
• Able to form trusting relationships with residents, families, and team members.
• Work collaboratively with colleagues, both within and outside the HSL continuum.
• Listen attentively; speak respectfully; maintain confidentiality.
• Provide the highest quality of preparation and presentation.
• Have a “can-do” service mentality.
• Accept responsibility for all tasks assigned.
• Work independently toward achieving program goals

III. Position Responsibilities:

• Partner with the Nurse Care Manager and the resident services team to provide comprehensive case management services to residents.
• Provide regular preventative outreach to all residents to check in on their needs and overall health and develop trusting relationships with residents and their families.
• Conduct wellness assessments of residents to determine needs and goals; develop wellness plans addressing physical, social, cognitive, spiritual and mental health domains.
• Actively follow up on all identified needs including finding resources, making referrals and ensuring residents are actively engaged in services.
• Coordinate with primary care physicians, mental health providers and hospitals. Ensure effective communication around changes in status, transitions and service utilization.
• Active follow up on all hospitalizations, rehab stays, emergency room visits. Work with families, hospitals, rehabs, HSL Home Care and/or VNA, ASAP’s and other providers to ensure safe discharges and ongoing services.
• Occasional translation or interpretation as needed.
• Partner with housing staff to tailor programming that meets resident needs.
• Educate housing staff members including office, maintenance, housekeeping, programming. and dietary staff to identify and communicate concerning changes in residents’ condition.
• Coordinate with residents to complete files including important health care information, end of life planning, and emergency contacts.
• Support on site services and connection to required off site services by following up with at risk residents to ensure adherence to health and wellness related activities.
• Develop relationships with all payers serving seniors in the sites.
• Implement effective communication systems between housing and providers to relay important information (changes in condition, transitions between settings, changes in behavior/activity).
• Promote self-care among residents through individualized coaching to identify personal goals and implement programs and services that support those goals as well as coordinate with care providers.
• Partner with and make referrals to all appropriate local service providers, for example:
  Visiting Nurses Associations, ASAP’s, Rehabilitation Services, PACE Programs, Adult Day…