Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below represent the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Bachelor’s Degree
• At least two years of experience conducting supportive service needs assessments and using such assessments to identify and locate specific services that address individual residents’ needs.
• Demonstrated working knowledge of services available in the community, with particular knowledge of services that are provided for the population living in the facility
• Training in the aging process, elder services, disabled services, drug, and alcohol abuse, and mental health issues
• Awareness of eligibility for and procedures of federal and state entitlement programs
• Awareness of legal liability issues related to providing service coordination
• Good communication, writing, problem-solving, and organizational skills
• Experience building relationships with local service providers, community institutions, and local government agencies
• Experience working with older adults in a direct service capacity
• Ability to establish trust, listen, and assist residents in defining their problems, while identifying possible solutions and resources and helping residents decide the best course of action
• Cultural competency in working with individuals from different ethnic and racial backgrounds, including working with non-English speaking adults

Preferred Skills:

• Bachelor’s Degree Concentration in Social Work, Gerontology, Psychology, Sociology, Counseling, Public Health, or Therapeutic Recreation preferred
• Basic computer proficiency, including the ability to maintain data in an electronic database, communicate via email, use the internet, and operate word processing software to create program materials
• Knowledge of the eligibility requirements for applicable federal and state entitlement programs
• Knowledge of the process of referring individuals to the services that they require, as well as the ability to build relationships with said service providers and provider agencies.
• Knowledge of life-cycle issues of older adults and families, as well as the physical and mental impairments common to the aging process
• Demonstrated ability to advocate, organize, problem‐solve, and achieve results for older adults and people with disabilities.

Essentials:

• Help to coordinate the provision of supportive services to help all residents continue to age in place and delay or avoid the need for higher levels of care.
• Routinely assess service needs in response to changing circumstances, i.e., Consulting with residents returning from the hospital/rehabilitation to determine the need for additional support.
• Conduct assessments for all residents participating in the program at a minimum of annually, and complete a health and wellness assessment that gathers information about the resident's physical, mental, functional, and social status.
• Develop an individual health aging plan/service plan to address identified interests and needs. Plans are guided by information from the individual assessments, summary reports of aggregated needs pulled from the database system, and personal observations.
• Establishes links with agencies and service providers in the community; shops around to determine/develop the “best deals” in individualized, flexible, and creative services for the involved resident(s)

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