ENOA, Services Coordinator
Listed on 2026-08-31
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Healthcare
Community Health, Human Services/ Social Work -
Social Work
Community Health, Human Services/ Social Work
ENOA, Services Coordinator
Hours
Required:
40
Job Description and
Hours:
Responsible for determining and monitoring the appropriate long term care needs of financially eligible clients over the age of 65 who are requesting or receiving assistance through home and community based services. Responsible for coordinating home and community based services to eligible participants by identifying their strengths and needs and incorporating formal and informal supports through a participant-centered approach to service planning and delivery.
Responsible for completion of a comprehensive assessment to identify client strengths and needs. Responsible for providing participants with choices for safe independent living options and consumer-directed services that are cost efficient.
The service coordinator uses a participant centered process in which the participant/client identifies strengths, needs, priorities, resources, and barriers. Each participant/client needs to be reassessed at least annually and upon any major biopsycho-social changes that influence their functional ability and safety.
The plan of services and supports is a collaborative, written document that is prepared with the participant/client and services coordinator. It is based on the findings from the comprehensive assessment, collateral data and the participant's/client's preferences. The plan of services and supports document includes: problem statements converted to measurable outcome goals, strengths, intervention/service objectives, units of service (formal and informal), time frames and providers/contacts.
The Service Coordinator and the participant decide on the level of services coordination and determine the role of the Services Coordinator and the participant in the plan implementation.
The Services Coordinator and the participant identify formal providers and informal supports with focus upon participant preference and cost effectiveness.
Services and care arrangements require a Service Coordinator to be the broker of high quality and cost effective services. A Service Coordinator must develop and maintain rapport and communications with the participant/family and caregiver/s so that important information regarding delivery of services and products impacting on the goals and outcome of the plan can be disclosed. Maintaining professional rapport and communication with the members of the team is essential so the plan can be discussed objectively, problems identified, and adjustments made to the plan as needed.
The Service Coordinator for the participant is the "team leader" for said participant and initiates communication with other disciplines as needed for appropriate planning (e.g. joint assessments, care planning meetings, external professionals).
Careful follow-up that tracks whether or not the service was provided as requested and if it was satisfying; monitoring must occur in a timely manner via direct and telephone contact. Maintain regular communication with all providers delivering care, services, and products to the participant for…
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