What are the responsibilities and job description for the Support Coordinator-MHL position at Detroit Area Agency on Aging?
Conducts face-face assessments/reassessments from a clinical perspective on designated assigned
cases.
• Obtain medical history and document pertinent clinical information from participants related to
their medical diagnoses and assessment findings.
• Utilizing assessment, develops a plan of care directed by the client (Person Centered Care
Planning)
• Monitor participants for conditional changes associated with their physical and mental health
well-being.
• Performs monthly medication reconciliations.
• Develops and completes care plans and other required documents. Reviews and modifies care
plans as directed by the client / caregiver during the reassessment and obtains the clients signature
of approval.
• Maintains regular, ongoing contact with clients, caregivers, physicians and service providers
listed on service plan through home visits and phone calls.
• Educates clients, caregiver and service providers regarding the roles and responsibilities of each
party, assuring that services are provided as documented in the care plan.
• Conducts Nursing Facility Level of Care assessment as required.
• Continues to evaluate the appropriateness of the service plan, adjusting it as needed.
• Monitors client progress in relation to goals and objectives listed in the care plan.
• Interfaces with community resources as needed to support client.
• Collaborates with peers (RN or SW) in coordinating services.
• Produces timely and accurate commuter entry reports.
• Maintains client confidentiality.
• Participates in training, supervisory meetings, in-services and continuing education opportunities.
• Abides by DAAA’s and Waiver Codes of Ethics.
• Participates in other duties as assigned.
• Computer literate: Word, Excel, Outlook
• Excellent communication skills, written and verbal.
• Current Michigan driver’s license and access to a car.
• Ability to analyze and problem solve.