Case Manager - Community Transitions Liaison (Milford, Part Time) - Tri-Valley, Inc.
Dudley, MA
About the Job
The main role of the part time (18 hours per week) Community Transition Liaison - (Nursing Home to Community Coordinator) is to promote, educate, identify, and assist nursing home residents with options related to transitioning into the community.
Responsibilities:
- Meet with residents to increase awareness of community supports and services and introduce transition as a potential option.
- Identifies individuals appropriate for the program based on resident’s desire to transition to community living environment.
- Assist residents to determine the most appropriate supportive program and determine eligibility to ensure effective transition to the community.
- Assist with gathering all necessary documentation needed and completion of applications for housing and other public benefits.
- Manage the discharge process along with purchasing goods and services for transition.
- Have knowledge of and work closely with community partners of State programs to maximize resources and eligibility for services.
- Maintain regular communication with supervisor and nursing staff for expedited clinical screenings and care planning to support community planning and transition.
- Onsite point of contact for residents, families, skilled nursing facility (SNF) staff and all other parties involved with resident’s care for nursing facility transitions to the community.
Essential Functions/Qualifications:
- Bachelor’s degree in Social Work, Human Services or related field, preferred.
- Experience and/or strong interest in the field of human services via previous employment, internship, volunteer activity and/or additional studies.
- Regular and reliable attendance.
- Valid driver’s license and/or reliable transportation; insurance verification and motor vehicle record check.
Source : Tri-Valley, Inc.