Requisition Details:
Employment Status: Regular, Full Time (RFT 1.0)
Program Name: SMILE Program
Number of Hours Bi-Weekly: 75
Work Schedule: Days
On-Call: No
Location(s): This is a hybrid remote position. The position will work from home office and in the community 2-3 times per week to complete assessments. Travel to the Trenton office may be required as needed.

Job Summary:

The Case Coordinator provides clients with comprehensive assessments ensuring a high-quality client experience. The Case Coordinator is responsible for developing, in consultation with the client and caregiver, a comprehensive care plan to meet the client's goals. The Case Coordinator supports the client and caregiver to manage their care budgets and required resources. Case Coordinators visit clients in their homes to complete case management tasks and are required to drive to client homes. Case Coordinators ensures navigation to appropriate resources and supports the philosophy of client self-management. Works within the framework of VON policies, procedures, standards, and quality & risk management.

Key Responsibilities:

• Maintains competency including the ability to interpret current applicable standardized assessment tools such as the interRAI CHA.
• Completes client assessments in the home using conversation based methodology.
• Develops and conducts a comprehensive therapeutic rapport.
• Utilizes technology in the home to complete comprehensive assessments.
• Identifies and prioritizes environmental risk for client's health and safety (shelter, food and running water, temperature control and overall condition of living environment).
• Develops a comprehensive care plan (interpreting the CAPs and care planning).
• Facilitates access to client identified services to support the care plan and goals.
• Makes referrals to community and health resources as required
• With client consent, consults with partners in care service plans to ensure shared understanding of client needs and appropriate interventions/services to meet those needs.
• Monitors client progress and adjusts care plans as required
• Reviews client care plan expenditures and supports clients to manage within the budgets
• Accesses and reviews assessment via the IAR (integrated assessment record).
• Collects and reports relevant data to Manager when necessary.
• Adheres to the prescribed privacy policies and standards for Community Support Service agencies including VON.
• Positively and professionally represents all CSS agencies and service providers.

External and Internal Relationships:

• Engages frequently with Administrative Support, Community Support and Home Care program Coordinators, Supervisor and Manager.
• Networks and collaborates with all regional partners, providers and agencies.

Education, Designations and Experience:

• University Degree or College Diploma in the nursing field.
• Minimum of 3 years related experience in a home and community care organization including experience in case management
• Broad working knowledge of community resources, including service and programs within defined catchment area.
• Proven experience in building external and community relationships.
• Demonstrated experience in completing validated common assessment tools and maintaining competency.
• Knowledge and skills in comprehensive assessment and the ability to maintain proficiency.
• Computer proficiency in Windows OS and Microsoft office programs.
• Working with volunteers and seniors an asset.

Skill Requirements:

• Strong attention to detail and accuracy.
• Skilled in communication (verbal, written, listening), rapport building and relationship management.
• Strong computer proficiency.
• The ability to use analytical skills and understand/interpret client assessment data.
• Ability to effectively manage multiple tasks, while prioritizing, meeting deadlines and working well under pressure.
• Demonstrated skills in leadership, team building, communication and education.
• Time management and strong organizational skills.
• Ability to work independently and as part of a team.
• Ability to accept and facilitate change.
• Ability to maintain confidentiality.

Other:

• Available for weekend assessment coverage.
• Must have access to a personal vehicle for business use and possess both a current driver's license and proof of vehicle insurance
• A Criminal Records Check will be required
• A Vulnerable Sector Search and/or a Child Abuse Registry Check may be required
• The use of Personal Protective Equipment (PPE) may be required

Work Conditions and Physical Capabilities: Attention to detail; Lift and carry using appropriate lifting techniques; Bend, push, pull, grip, reach, kneel, crouch using good body mechanics; Walk, sit, stand, climb stairs; Hand movements.