Service Coordinator - Brookside Community

Service Coordinator

The Service Coordinator is responsible for coordinating programs and services to assist clients or residents in maintaining the highest practicable level of independence and physical, mental, and psychosocial well-being.

General Essential Functions

• Assists and educates clients or residents and families to acquire and utilize community services necessary to maintain a self-reliant lifestyle.
• Acts as a liaison between community agencies, service providers, and clients or residents; seeks out new services, identifies low-cost providers, and/or negotiates discounts.
• Monitors the delivery of services to clients or residents to ensure services are appropriate, timely, and satisfactory.
• Maintains a resource directory of available community services.
• Maintains professional relationships with all clients or residents in the housing community to identify areas of need and make referrals to community agencies as necessary.
• Maintains resident files, including but not limited to intake information, assessments, service referrals, termination information, quarterly reviews and follow-up, documentation of human or civil rights violations, and resident/family/provider meeting or communication notes.
• Conducts quarterly Quality Service reviews and follow-up.
• Submits all required reporting data within specified time frames.
• Networks with service providers to maintain necessary relationships and pursue additional service opportunities through private, local, state, and federal sources.
• May require travel for conferences, training, and other company events.
• Performs all other duties as assigned or directed.

UCH Engage Housing Service Coordinator

• Promotes wellness activities for all residents, including arranging onsite or mobile healthcare services and screenings; encourages residents to proactively address social, psychological, and physical needs.
• Coordinates educational events for residents, families, and staff regarding community resources (healthcare, home- and community-based supports, benefits programs, life skills programs), including referral processes and eligibility requirements.
• Assists residents in building informal support networks with other residents, family members, and friends.
• Coordinates volunteer support programs with community service organizations.

Navi Guide Community Service Coordinator

• Assesses client needs to establish an individualized service plan.
• Acts as a family support system and provides community resources for caregivers as needed.
• Maintains client, family, and provider meeting and communication notes.
• Conducts home visits, including during inclement weather.
• Ability to commute daily for client home visits.
• Requires daily travel to client homes, community service providers, and attendance at trainings, conferences, and company events.

GUIDE Navi Guide Community Service Coordinator

• Completes all required GUIDE assessments, including FAST, ZBI-22, PROMIS-10, HRSN, and comprehensive assessments.
• Create and updates person-centered service plans to reflect changing client needs.
• Acts as a family support system and provides necessary community resources for clients and caregivers.
• Serves as a liaison between clients, caregivers, primary care physicians (PCPs), the GUIDE interdisciplinary team, community agencies, and service providers; seeks out new services to meet client needs.
• Maintains and updates resident files within the electronic medical record, including intake information, assessments, service plans, referrals, progress notes, and meeting/communication documentation.
• Conducts home visits, including during inclement weather.
• Ability to commute daily for client home visits.
• Requires daily travel to client homes, community service providers, and attendance at trainings, conferences, and company events.

Skills & Abilities

Education:

• Bachelor's degree in social work – preferred.
• GUIDE Navi Guide:
  Associate degree in Nursing, Social Work, or Gerontology – preferred.

Experience:

• Two (2) or more years of experience in social service delivery to the elderly population.
• Working knowledge of community resources within the geographic service area.
• GUIDE Navi Guide:
  Experience working with individuals…