• Advocacy
• Collaboration
• Compassion
• Diversity
• Innovation

Duties and Responsibilities :

• Perform initial and ongoing assessments of the health and functional status of the member.
• Assist in the development of the member’s community-based care plan and related service package.
• Track member transfers from one setting to another, work to adjust the Individual Care Plan as appropriate.
• Coordinate direct services to members.
• Assist members with a Loss of Mass Health.
• Meets monthly with SCO/One Care team members to review cases.
• Maintains case records as required by the Senior Care Organization, One Care Organization, Agency, and the Executive office of Elder Affairs.
• Participates in in-service trainings, courses, and workshops.
• Participates in special initiatives and projects within the agency.
• Other duties as assigned.

• Ability to collaborate, take initiative, provide/ receive feedback.
• Excellent computer skills required. Ability to work independently and professionally.
• Ability to communicate and work with the elderly and community resources serving the elderly population.
• Valid MA driver’s license and car required

• A bachelor’s degree in social work or related human services field from an accredited college or university.

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift 15 pounds.
• Travel Required daily throughout the service area. Travel to training and meetings as needed.

• · Diversity: individual characteristics of employees that make them unique. This uniqueness in the workplace allows for new ideas and creative solutions that can help an organization grow.
• · Inclusion : when employees feel comfortable and safe, or the cultural and environmental feeling of belonging. It can also be defined as how welcomed and valued an employee feels in the workplace. Including your colleagues while also feeling included yourself.
• · Equity: means fair treatment, access, opportunity, and advancement for all employees. By fostering an equitable environment, all employees are given the unique resources they need to succeed. Equitable conditions in a workplace mean that all employees have equal access to opportunities to make the most of their talents.
• · Equality : (Often confused with equity) refers to employees receiving the same resources and opportunities without factoring in individual needs. While equity implies fairness, equality implies sameness.