POSITION SUMMARY Provide outreach and advocacy services, counseling and care planning to individuals and caregivers directly and through support group leadership. In addition, the Supervisor will be responsible for community development, assistance in acquiring program funding and consultation with stakeholders.
KEY RESPONSIBILITIES
Initiate intake interviews and conduct needs assessments;
Develop and implement a plan of care, with short and long-term objectives and monitor the effectiveness of the plan and the need for revision;
Work closely with family members / caregivers, seniors services, transitional care, acute care, EMS, emergency departments, rehabilitation centres, agencies, landlords and other professionals to identify problems and possible solutions for service provision and improvements;
Provide case management coordination which includes advocacy, coaching, risk assessments, crisis prevention / intervention, referrals to primary care, financial aid, assisted devices, home and safety assessment resources, food banks / meals-on-wheels, transportation and social recreational programs, etc.;
Coordinate communication with and between clients, significant others / caregivers, health care providers, Public Guardian and Trustee, landlords and other community agencies;
Maintains client charts and other related client and workload measurement documents according to established policies and procedures;
Develops clinically sound case plans using the Ontario Common Assessment of Need (OCAN) or the Inter-RAI Community Health Assessment tool that are specific to the needs of clients and the objectives of the program in question.
QUALIFICATIONS
College Diploma / University degree in social services or related field, BSW or MSW an asset;
Minimum three years related experience in seniors case management and care coordination support;
Extensive knowledge of seniors issues and services;
Experience working with clients with age related mental and / or physical health issues.
Excellent verbal and written communications skills;
Demonstrated case management and referral skills; and ability to effectively link clients to supportive services;
Self-directed and independent, but also experienced in working effectively as a member of multi-disciplinary team, which includes internal and external stakeholders;
Applied computer skills (Microsoft Office, Client Information Systems, Web browsing);
Fluency in a second language is a strong asset and preferred;
Valid Driver’s license and access to a personal vehicle is required.