Elders' Program Coordinator

Description

The Elder Care Program Coordinator supports Tribal Elders by conducting home visits, assessing needs, and connecting them to medical, social, and community resources. This role serves as a liaison between Elders, their families, and service providers to ensure needs are met and services are coordinated. The coordinator maintains documentation, supports care planning, and builds relationships within the Tribal community.

Level I -

• Conduct home visits and welfare checks to evaluate and monitor Tribal Elders and their needs. Identifies economic, social, cultural, physical, and environmental factors that impact functioning.
• Evaluate the effectiveness of the care plans and recommend adjustments as needed.
• Maintain outreach and provide support services to Tribal Elders based on individual needs.
• Conduct Activity of Daily Living Assessments to determine eligibility for program services.
• Connect Tribal Elders with essential community resources, providing hands‑on, in‑person assistance as needed.
• Prepare and submit payment requests and Elder In‑Home Care Timesheets for supervisor review and approval.
• Assist Tribal Elders with navigating resources such as Washington Connections, Apple Health and DSHS Long‑Term Services and Supports; while collaborating with medical professionals and other service providers to support coordinated care.
• Coordinate transportation for health‑related appointments as needed.
• Maintain transportation logs, reports, and related program documentation.
• Prepare purchase requests for program services, supplies, and activities for program manager review and approval.
• Participate in Elder program activities and events in a respectful and supportive manner.
• Maintain accurate client records, case notes, and other required program documentation.
• Participate in department meetings and trainings as appropriate.
• Assist Tribal Elders’ physical and mental wellness, needs, preferences, and abilities to develop individualized care plans.
• Work with Tribal Elders, their support networks, and health care professionals to implement individualized care plans.
• Document Trial Elders’ progress, including charting referrals, home visits, and other notable interactions.
• Evaluating Tribal Elders’ progress periodically and make adjustments to care plans or services as needed to improve outcomes.

Level II -

Performs all duties of Level I, plus:

• Assist with program policy development as needed.
• Utilize Tribal Assister certification to assist Elders with enrollment in Apple Health and other eligible assistance programs.

• Assist in identifying Tribal Elder needs to ensure optimal support and care.
• Participate in program staff meetings, provider meetings, and work groups as needed.
• Attend required trainings and continuing education necessary to effectively perform job duties.
• Assist with Title VI Elder Needs Assessment Survey and other surveys for information.
• The Tribe values its commitment to community service and the well‑being of its members. In recognition of this, each employee may be expected to perform duties from time to time which may not be related to their regular responsibilities.
• Other duties as assigned.

• Proficient in computer skills including Microsoft Office applications.
• Proficient in navigating DSHS resources and applications.
• Knowledge of Medicare and Social Security Administration resources and benefit programs.
• Case management experience.
• Strong organizational skills with attention to detail and accuracy.
• Ability to prioritize workload and meet strict deadlines.
• Excellent customer service skills and written and verbal communication.
• Ability to communicate effectively with diverse populations in a courteous, clear, and helpful manner. Knowledge of Native cultures, history, and traditions preferred.
• Knowledge of age‑related health and social conditions affecting seniors preferred. Ability to maintain confidentiality and use tact and discretion.
• Demonstrate professionalism, strong communication skills, and sensitivity to the needs of Tribal Elders and their families.

Education Required:

Level I -

• Associate degree in human services, social…