Support Coordinator (SW)

JOIN OUR TEAM! WORK LOCATION: IN -PERSON Were looking for a talented and motivated Support Coordinator (SW) to join our innovative team. We are in need of an expert problem-solver to design and execute person-centered care plans, establish strategic health goals, and link clients to community resources. Exceptional communication skills for collaborating with families and physicians, alongside a commitment to precise, timely documentation, are essential for success in this role The Benefits of Joining Our Team - We Offer: Comprehensive Health Coverage - including medical, dental, and visionGenerous Paid Time OffSupport Culture - A collaborative and inclusive environment where your ideas are valued Other Essential Duties Performed: Conducts assigned assessments/reassessments from a psycho-social perspective Assist participants identify barriers and develop strategies to overcome them Promote positive social change opportunities by engaging community partners Utilizing assessment, develops a plan of care directed by the client (Person Centered Care Planning) Performs reassessments on designated assigned cases. Monitors reassessments and provides quarterly report to supervisor. Develops and completes care plans and other required documents. Reviews and modifies care plans as directed by the client / caregiver during the reassessment and obtains the clients signature of approval. Maintains regular, ongoing contact with clients, caregivers, physicians, and service providers listed on service plan through home visits and phone calls. Educates clients, caregiver and service providers regarding the roles and responsibilities of each party, assuring that services are provided as documented in the care plan. Conducts Nursing Facility Level of Care assessment as required. Continues to evaluate the appropriateness of the service plan, adjusting it as needed. Monitors client progress in relation to goals and objectives listed in the care plan. Interfaces with community resources as needed to support client. Collaborates with peers (RN or SW) in coordinating services. Produces timely and accurate commuter entry reports. Maintains client confidentiality Participates in training, supervisory meetings, in-services, and continuing education opportunities. Abides by DAAAs and Waiver Codes of Ethics. Participates in other duties as assigned. Computer literate: Word, Excel, Outlook Excellent communication skills, written and verbal Ability to analyze and problem solve.