Program Assistant
5 months ago
Title: Service Coordinator - BILINGUAL, Community Support
Reports to: Team Manager, Community Support
Program: Community Support
Approved by: Director, Client Services
Date Approved: January 2020
:
The Service Coordinator, Community Support, is part of a multi-disciplinary team that addresses issues related to supporting independent community living for older adults and adults with disabilities. This position is responsible for working assessment, delivery and coordination of a range of community and social services for the identified population.
PRINCIPAL RESPONSIBILITIES AND DUTIES:
- Providing initial contact to all new clients to Community Support Services, establishing rapport, assisting in identifying needs and providing information about services;
- Receive, intake and complete assessment, planning and interventions for programs and referrals to programs through contact directly with clients and caregivers through telephone contacts, home visits, off site service provision and walk ins;
- Responsible for all aspects of assessing client eligibility and need for service delivery including but not limited to: Meals Delivery, Transportation, Foot Care, Diners Clubs, Going Home Program, Integrated Care and Enhanced Support Services
- Providing ongoing point of contact to all clients accessing Meals Delivery, Transportation, Foot Care, Diners Clubs, Going Home Program, Integrated Care and Enhanced Support Services
- Support and consult with team members to ensure that services and supports are delivered and maintained meeting the individual needs of the older adult / adult with disabilities as identified in their Care Plan/ Care Plan
- Consult and work with clients Power of Attorney and/ or Substitute Decision Maker when necessary
- Proving information and referral information to clients, families, care givers, community members, and other health care and social service professionals
- Provide referral for counseling and support to clients as required, as well as follow up
- Develop, maintain, implement and evaluate appropriate safety and security measures for clients, volunteers and paid drivers
- Complete Supervision and evaluations for volunteers as required
- Receive requests for service from clients and work with Program Assistant(s) to meet service requests
- Identify risk factors and provide appropriate support for social isolation, mental health, and social determinants which impact the general well-being and health of community members
- Coordinate and complete services for clients referred by the Going Home Program.
- Refer clients where appropriate and necessary to external support services including but not limited to Primary Care Outreach, Essential Health and Social Supports, City of Ottawa, Personal Care Independent Living. Geriatric Assessment Outreach Team, Geriatric Psychiatry Community Services of Ottawa, Adult Day Programs, and Care Coordination
- Follow up with clients by telephone and / or home visit when there is a change in client’s health or needs
- Complete Community Home safety checks of known vulnerable individuals
- Facilitate education and support groups as required
- Arrange payment from subsidy funds if client unable to pay for services
- Link with appropriate service providers and/or community resources
- Communicate and liaise with community partners to ensure effective provision of service delivery
- Maintain a client case load for consistent support and follow-up
- Monthly follow up with new clients and waitlisted clients
Advocacy:
- Support and promote advocacy skills of community members and assume an advocate role as required
- Support and advocate on behalf of clients and their families in obtaining services through other social and/or health providers
- Actively participate in committees regarding services available, gaps in services and issues affecting clients and their families
Community Education:
- Promote awareness of issues affecting older and persons with disabilities amongst colleagues and community members
- Develop community strategies to increase awareness of issues affecting members of our communities served
- Participate as a staff member in internal and external meetings, public relations events, fundraising events and media contacts as requested
- Responding to community requests for information
- Presentation to community groups as requested
- Engage in outreach activities to heighten public awareness of the Centre and its services, focusing on rural transportation
- Promote CSS Services through development of internal and external promotional material
- Collaborate with Corporate Service for internal and external publication of promotional material
Coordination of Policy and Service:
- Participate as a Community Support team member at internal and external meetings
- Take a leadership role and/or participate in advocacy and coordination committees of social and health services on a local level, particularly related to issues affectin
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