In Home Services Coordinator OPI and OPIM

Position Summary

This position is responsible for the care coordination of Community Base Service programs, Responsible for the successful implementation and maintenance of the Older American's Act programs in Curry County. Coordinates outreach services and coordinates information for OAA services . Fulfill agency mission by provisioning services available through the Area Agency on Aging including in-home services, the Employer Resource Connection program, Oregon Project Independence (OPI), and others, thereby helping to ensure seniors and people with disabilities thrive in Curry County .

This job is performed at main office and in the field requiring travel to clients in a variety of settings, homes, facilities, etc . The service area is Curry County . Principal Responsibilities (Essential Functions**) : This class specification represents only the core areas of responsibilities; specific position assignments will vary depending on the needs of the Division.

Case Management Performs client interviews , intake and assessments to determine service needs and resource requirements; serves as an agency representative with other service providers to address service requirements, availability and needs assessment ; makes resource referrals to both internal and external programs; provides client advocacy based on required situations.

Evaluates and documents program eligibility status ; determines case safety level, emergency status and/or need for crisis intervention or mandatory reporting ; determines, develops, and communicates client service action/case plans ; monitors and documents plan status and performs follow up on case services ; evaluates plan outcomes.

Coordinates the exchange of service information and service care provision with other agencies ; provides recommendations regarding course of action ; assists in conflict or behavior management ; and assists in the resolution of disagreements among clients, families , systems and service providers . Monitors client status ; provides counseling and intervention support ; conducts on-site client visits and perform comprehensive needs assessment ; performs safety and risk assessments ; determines crisis intervention needs ; monitors services and makes plan adjustments as client needs change ; escalates case management supervision as required .

Prepares , documents and maintains case and/or program information ; collects, manages and analyzes data to produce reports documenting program measures and outcomes ; provides recommendations ; ensures the maintenance of timely program or case activity tracking , reporting and applicable billing. Performs other duties of a similar nature and level as assigned.

Providing consultation and case coordination for Oregon Project Independence (OPI) and Oregon Project Independence Medicaid (OPIM) program participants in the home and over the phone which includes the following : conducting an assessment and assists the veteran in developing a participant directed spending plan . providing consultation to determine what mix of goods and services best meet the consumer's needs.

maintaining accurate client files and timely documentation . Providing information, consultation, and referral to participants regarding necessary resources and services . Working with individual participants and caregivers to identify gaps in services, report findings, and advocate for identified needs . Coordination Provides service coordination for adults with chronic or acute age related or physical disabilities which limit independence; determines eligibility for services; develops a care plan to prevent premature institutionalization through provision of in-home services ; and coordinates referrals to other community services and monitors client progress .

Works with other County agencies and community organizations to coordinate effective service provision to clients ; and facilitates the development of community partnerships to promote services for clients or their families that do not currently exist or accommodate the specific identified needs Develop care/service plan (updated every 6 months)- to identify means to have needs met and remove barriers to goals related to disability Liaison between APO and consumer Program Support Completes and reviews application forms for home delivered meal eligibility and necessary follow-up for participants in Curry County.

Provide program explanations to participants and gather required data . Maintains the system of computerized agency program/fiscal performance reports as specified by state and/or federal law and compiles appropriate data and completes necessary reports for all services provided through the Area Agency on Aging. Maintains records and files in accordance with applicable rules , regulations, policies and procedures in a manner that supports state and federal requirements.

Minimum Qualifications

& Skills : Knowledge and/or experience in providing services to seniors . Excellent communication skills, oral and written ; experience with assessment and service plans desirable ; experience in crisis intervention . Knowledge of local community resources for the elderly and caregivers .

Preferred Qualifications

& Skills: Bachelor's degree in social sciences or related field Two years of social services experience, working in a similar capacity with similar populations. Age and disability related issues and concerns of adults , their families and caregivers . Principles and applications of critical thinking and analysis . Record management principles .

Customer service principles. Modern office technology. Performing assessment of client situations to determine case management and/or emergency needs . Conducting interviews to determine client or program service needs and/or intervention. Gathering data, analyzing findings and applying logic and reason . Coordinating deadlines and prioritizing competing demands .

Maintaining program or case information . Exercising confidentiality . Providing customer service. Utilizing a computer and relevant software applications.