General Purpose: This position is responsible for managing State Home Care and Supportive Housing program services for residents of a local Supportive Housing site, along with State Home Care clients in the local community. This position provides linkage to needed support services for residents and works in partnership with the local housing authority (LHA) to advocate for residents’ needs. This position is responsible for supporting the dignity and independence of persons with disabilities and elders who are in need of assistance by assessing their situations, identifying unmet needs, arranging for, coordinating, and monitoring services to meet those needs, and advocating with other agencies on their behalf. Although not a requirement for this position, fluency in Haitian-Creole, Portuguese and/or Spanish is a plus.
- Meet with and assess building residents/referred elders to determine eligibility for the State Home Care Program and/or to Supportive Housing Program services.
- Conduct in-person assessments in consumers’ and building residents’ homes.
- Provide case management to oversee and monitor services and care coordination for older adults in the State Home Care Program who reside in the Supportive Housing site and those in the community.
- Collaborate with vendor agency staff to develop, implement, and coordinate flexible care services for all participants.
- Manage provision of emergency and one-time-only services, as needed.
- Participate in and/or facilitate care conferences with elders, family members, LHA, and community professionals as needed regarding care needs; provide and solicit advice about specific elder issues and available resources; and resolve conflicts.
- Perform outreach activities at the Supportive Housing site to promote the availability of Supportive Housing services.
- Provide State Home Care services according to EOEA guidelines to all eligible building residents and elders in the community, including but not limited to case management, advocacy, coordination of services, SAMS data management, compliance with EOEA and agency documentation standards.
- Coordinate and conduct social activities for building residents; work with residents to assess residents’ interests and needs for social/recreational/community activities.
- Oversee an onsite meals program at the Supportive Housing site and be knowledgeable of community programs to help residents address any food instability issues.
- Collaborate with building management and vendors to identify and resolve client/service issues and needs.
- Be knowledgeable about the LHA application process, move in and out procedures, and rules and regulations for housing site. Assist building management as requested with service planning for residents who are relocating.
- Disseminate information to residents by creating newsletter, calendars, and/or information flyers that include activities, events, and key contact information.
- Maintain and if needed, create Memorandum of Understanding with the LHA that ensures a positive working relationship.
- Maintain confidential records and document clinical and service needs to meet EOEA/agency standards for case management services and billing needs.
- Submit to EOEA on a quarterly and annual basis statistical and narrative reports reflecting status of Supportive Housing Program and activities.
- Demonstrate working knowledge about human development including, but not limited to, physical, psychological, social, and spiritual aspects of aging.
- Maintain weekly onsite office hours at the Supportive Housing site.
- Perform other duties as assigned including providing translation/interpretation if bilingual.
- Provide coverage for others, as needed, in the Home Care Department.
- Comply with HIPAA guidelines and other state and Agency confidentiality requirements.
Professional Standards and Conduct:
- Attendance and Punctuality: Due to the flexibility of SCES work schedules, it is imperative that staff be reliable and punctual. Staff will attend regularly scheduled meetings as required by management.
- Respect & Courtesy: Everyone deserves and should expect courteous treatment, whether in person, on the phone or in correspondence. All employees should consistently maintain a positive and congenial attitude.
- Cultural Sensitivity: Recognize and demonstrate a commitment to cultural sensitivity.
- Commitment: Commitment to SCES’ mission can be shown in many ways such as, assisting with special projects within the agency, maintaining a positive public image, participating as a volunteer or in professional associations and creating or furthering an initiative that reinforces the mission.
Qualifications/Basic Job Requirements:
- Bachelor’s Degree required
- Excellent communication, organizational and time management skills required
- Ability to work collaboratively as part of a team required
- Strong leadership and group skills
- Successful completion of introductory period in case management required
- Aging Services Access Point (ASAP) and/or housing experience preferred
- Must meet CORI and public health screening requirements
- Must be able to lift and carry up to 20 pounds
- Must be able to travel to clients’ homes via public transportation or by car along with weekly office hours at the Supportive Housing site.
- Flexible schedule, which may include occasional evening and/or weekends.
- As a member of a SCES-based Core Team, must be accessible by phone, directly or by coverage, during normal business hours.
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and/or skills required of all personnel so classified.