Support Coordinator (SW)

Other Essential Duties Performed:

• Conducts assigned assessments/reassessments from a psycho-social perspective
• Assist participants identify barriers and develop strategies to overcome them
• Promote positive social change opportunities by engaging community partners 
• Utilizing assessment, develops a plan of care directed by the client (Person Centered Care Planning) 
• Performs reassessments on designated assigned cases.
• Monitors reassessments and provides quarterly report to supervisor.
• 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
• Ability to analyze and problem solve.