Service Coordinator - Pickfair
Listed on 2026-09-18
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Healthcare
Community Health, Human Services/ Social Work, Patient/Health Advocate, Home Care -
Social Work
Community Health, Human Services/ Social Work, Patient/Health Advocate, Home Care
UCH Engage Housing 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. Includes all General Essential Functions listed above.
- 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.
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. Includes all General Essential Functions listed above.
- 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.
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. Includes all General Essential Functions listed above.
- Completes all required GUIDE assessments, including FAST, ZBI-22, PROMIS-10, HRSN, and comprehensive assessments.
- Create and update 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.
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 living with Alzheimer's disease, dementia, or in gerontology – preferred.
Computer
Skills:
Must be able to proficiently operate a computer, the Internet, Microsoft Office, other relevant software, and basic office equipment
Certifications & Licenses:
- Membership and familiarity with the American Association of Service Coordinators – helpful.
- Driver's license required; must meet company…
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