Social Prescribing, Community Connector

2 months ago

Vancouver, Canada Collingwood Neighbourhood House Full time

Collingwood Neighbourhood House’s mandate is to promote the well-being of the Renfrew-Collingwood community by providing leadership and working collaboratively with individuals, families, agencies and other groups to develop and support inclusive, innovative, sustainable initiatives and services that respond to the community’s social, educational, economic, health, cultural and recreational needs.

**Job Overview**

A Social Prescribing Community Connector plays an integral role in bridging the gap between healthcare and social care. As a Social Prescribing professional, you partner with community organizations to provide non-medical support to improve the overall health and well-being of older adults in your community.

The Social Prescribing Community Connector will work in collaboration health care referrers and other Community Connectors in the province to create an environment where seniors at-risk of frailty will be able to access resources and support. The goal of this position is to assist older adults to age safely in the right place by providing them with the social connections they require and build and maintain partnerships and connections of community-based seniors services in your area.

**Responsibilities**:
**Community Development**:

- Build and maintain networks within community and strengthen relationships withing the community-based senior serving sector.
- Use an asset-based community development approach to identify and mobilize individuals, and organizations providing and supporting older adults.
- Engages and participates in learning opportunities such as in community of practices, planning tables or networking events.

**Assessment and management of referrals**:

- Connects, liaises, and establishes partnerships with local health care professionals to create and maintain referral pathways.
- Maintains an active caseload of seniors with short-term needs through referrals from health care professionals and community agencies.
- Prioritizes referrals to meet individual participant’s needs.
- Understand hospital discharge procedures and assist with supporting seniors transitioning back home following a discharge.
- Implementing safety precautions when visiting seniors in the community, including their personal residence.
- Completes intake process to assess strengths, needs, abilities, and risks using motivational interviewing techniques such as active listening, conflict resolution and observing behavior.
- Use various assessment tools to determine challenges, needs and risks related to healthy aging and develop routines, structures, and resource referrals to reduce risk of frailty.
- Interpret participants’ complex physical requirements and social needs.
- Maintains a high level of confidentiality in all matters related to clients and community partners.

**Wellness Plan development**:

- Supports seniors to access appropriate range of activities and suitable community resources by developing individual wellness plans.
- Using a “what matters to you” approach refers seniors to community-based services, observes and assesses the participant’s engagement with resources including (for example: emotional, psychological, and functional status), and modifies activities to meet the participant’s changing needs.
- Provides information regarding appropriate community resources to socially support the participant and their families.
- Effectively collaborates within the CNH, Frog Hollow and our community-based seniors services to provide multidisciplinary care for the best interest of the senior.
- Assists with connection to a primary care provider.
- Engages and participates in educational training for seniors on topics such as healthy aging and other relevant topics.

**Documentation of referrals**:

- Documents participant’s interactions, wellness plans, reports, and other administrative duties as required.
- Provision of follow-up note to continuing community health care provider if requested.

**Evaluation**:

- Participates in evaluation of programs including collection of participant data, reporting at regular intervals.

**Other Duties**:

- Other duties as required by Program Director or supervisor
- Other duties that may be required by funder
- Work as part of CNH’s Older Adults Programs & Services Team to assist with development and implementation of team-based initiatives and programs

**Line of Authority** - The Social Prescribing Community Connector is accountable to the The Older Adults Programs and Services Team Lead and is part of the seniors’ team.

**Qualifications**
- Bachelor’s degree in social service or related human services field or a combination of relevant education and experience
- Two years of recent related experience with vulnerable populations providing community outreach, group facilitation, and social support or an equivalent combination of education, training or experience.
- Experience working with seniors and diverse populations from

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