The Bilingual Care Manager will interview elders (in their native tongue) for home care services to determine eligibility in home, hospital, nursing home, or other appropriate location. Conduct initial and periodic assessments within required time frames of elders’ physical, social, emotional and environmental status to determine needs. Complete all home visits and paperwork within guidelines of EOEA regulation and Agency policy.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
1. Develop a comprehensive service plan with elders, utilizing:
a. Informal supports (family, friends, clergy, etc.)
b. Community resources (medical, legal, housing, etc.)
c. Home care purchased services
2. Implement service plan through contact and coordination with support persons, resources, and home care provider agencies.
3. Advocate for elders when necessary. Encourage elder’s participation in service plan implementation. Provide Information and Referral Services when needed. Refer elders to other appropriate programs, including Medicaid Waiver, Respite, and Managed Care in Housing or other available and appropriate resources.
4. Maintain up-to-date client records, including progress notes and all other required forms. Complete and submit to supervisor on a timely basis all home care forms, referral forms, and data entry documents as required by EOEA regulation and Agency policy.
5. Provide translation between CBES staff and non-English-speaking clients as needed.
6. Provide access to essential services to elders in the community by translation of functional needs to CBES Intake staff and other community service vendors.
7. Provide translation of written material, e.g., brochures, letters, forms, etc., when needed.
8. Complete, review and submit all statistical information and other administrative paperwork as required by Care Manager Supervisor and/or current Agency policy.
9. Assist elders with housing issues, public assistance, insurance and financial benefits, long-term care admissions, legal issues, including identifying needs, locating resources and completing all applications and paperwork as necessary.
10. Identify elders in at-risk situations, including abuse, neglect and financial exploitation. Report to and collaborate with appropriate crisis intervention agency, including Protective Services and Elders at Risk programs, to alleviate abuse, neglect, and other crises.
11. Coordinate service provision to elders, including collaboration with vendors, health care providers, and other human services agencies. Administer clustered service delivery, including completion of block service authorizations and facilitation of site meetings on a regular basis.
12. Participate in Quality Assurance process of home care service delivery in accordance with EOEA regulation and Agency policy, including peer Care review and home visits. Provide feedback on vendor service provision for annual audits.
13. Update professional skills, knowledge of community resources and gerontological issue
14. Keep informed of all current Agency and EOEA regulations, policies, and procedures.
15. Attend all required meetings and training.
16. Complete other tasks as periodically assigned by Agency administration.
17. Other duties as assigned.
1. Excellent skills in observation, assessment and problem-solving.
2. Strong organizational skills, including the ability to manage time effectively to meet deadlines. Ability to handle diverse responsibilities and work independently.
3. Good interpersonal skills, including the ability to relate with clients, administration, and the ability to collaborate in an interdisciplinary context.
4. Effective advocacy skills, including understanding and sensitivity to cultural issues of the target client population. Basic knowledge of community resources and programs and the ability to empower elders in improving their quality of life.
5. Ability to work in urban, multi-ethnic, and multi-racial neighborhoods.
EDUCATION, SKILLS, AND EXPERIENCE:
· Bachelor’s Degree, in a Human Services, Social Work, Nursing, or equivalent experience and a minimum of three years’ experience in human services field, preferably working with elders. Must have a basic knowledge gerontological of issues.
PHYSICAL REQUIREMENTS OF THE JOB:
· Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.
· Ability to climb stairs.
· Ability to travel to the community to perform visits at consumers’ home.
· Work requires regularly standing, stooping, and bending.