CARE COORDINATOR

JOB SUMMARY:

This position works with program participants, staff, and community partners to implement the Program to Encourage Active and Rewarding Lives for Seniors (PEARLS) and the Aging and Disability Resource Connection (ADRC) at ACC Senior Services.

PEARLS is an evidence-based program that helps older adults lead healthier and more fulfilling lives by educating them about depression and supporting them in developing the skills needed for self-sufficiency and increased engagements in social activities. The program is offered in home or community-based settings that are accessible and comfortable for older adults. 

The ADRC serves as single point of entry into the long-term services and supports (LTSS) system for older adults, people with disabilities, caregivers, veterans, and families under a “no wrong door” policy. ACC is a core partner of the ADRC of Sacramento County with Agency on Aging Area 4 and Resources for Independent Living. The ADRC provides four core services: Enhanced Information and Referral (I&R), Person-Centered Options Counseling, Short-Term Service Coordination, and Person-Centered Transition Support.

The position applies social work values, principles, and skills to support older adults and their families. The practice of social work requires knowledge of human development and behavior; social, economic, and cultural institutions; and the ways in which these factors interact.

This is a non-exempt (hourly), full-time position and reports to the Program Manager.  

ESSENTIAL JOB FUNCTIONS:

• Implements all components of PEARLS; completes required coach certification and training for program delivery including PEARLS coach training, weekly clinical supervision, the California Learning Collaborative, monthly TA calls, and related activities.
• Meets with participants; provides care via home visits, community, phone or video conference.
• Conducts outreach to recruit and screen older adults for program eligibility; provide referrals for treatment or additional care options as needed.
• Administers questionnaires as screening tools during PEARL’s sessions to monitor participant progress and adjust services accordingly.
• Teaches problem-solving techniques and Behavioral Activation.
• Coordinates with Program Manager to collect all data required by AAA4, the Commission, and/or University of Washington Health Promotion Research Center for program evaluation.
• Collaborates with the University of Washington Health Promotion Research Center, AAA4 and other partner agencies as part of program implementation.
• Implements ADRC core services including Enhanced I&R and Person-Centered Options Counseling:
• Participates in in-service trainings related to program delivery.
• Conducts person-centered care assessments with older adults, individuals with disabilities, and caregivers to identify needs and develop appropriate care plans.
• Provides referrals and warm transfers to relevant community resources and conducts follow-up.
• Collaborates with Program and Care Manger to collect data required by CDA and AAA4 for program deliverables and evaluation.
• Participates in ADRC Frontline Staff meetings and Advisory Committee meetings.  
• Builds and maintains referral relationships with internal and external service providers.

QUALIFICATIONS:

• A Bachelor’s degree in social work or a related field with coursework in psychology, gerontology, health science, public health, and/or social work or two years of direct service experience with older adults, people with disabilities, and caregivers.
• Knowledge of social, physical, and mental health needs among older adults, people with disabilities, and caregivers.
• Understanding of person-centered care principles and practices.
• Experience establishing referrals.
• Experience collaborating within service systems that support older adults, including social services, financial assistance, health and wellness programs, and long-term care.
• Strong verbal and written English communication skills.
• Efficient with MS Word, MS Excel, Outlook.

Salary : $26 - $31