• Receives referrals, makes home visits, and interviews clients and/or family members/caregivers for assessment of need for multiple program services (personal care, homemaker, adult day care, etc.) and community resources. Assesses client’s functional, family, social, environmental, and medical status and develops a comprehensive care plan for proper service disposition. Arranges and coordinates applicable services with service providers, other community agencies and resources. Provides case management and counseling to assist clients with problem solving. Maintains professional communication with all stakeholders including clients, family members, caregivers, peers, supervisor, and funder(s).
• Writes, reviews, and monitors care plans for continuity of services and functional changes of the clients which warrant recommendations of services changes and /or termination of care plan. Completes semi-annual assessments of clients. Provides care coordination that matches the needs of the individual and are person centered. Prepares and completes case reports and correspondences, applicable and required forms on statistical reports. Confers with supervisor or other on difficult and/or unusual cases. May assist with special projects assigned to the company.
• Ensures that the individual has a seamless transition of services before discharge.
• Advocates for clients and collaborates with community service agencies to provide information and services necessary to meet various socio-economic needs in a variety of settings, to improve their situations and restore them to self-sufficiency in the community setting.
• Provides client assessments and other related information to public officials and others for their use in determining appropriate course of action relative to client needs and situations; coordinates with social services agencies and attorneys to develop requirements to satisfy client needs; and attends meeting in exchange social services information. Complies data to be used in evaluation programs performance, for reports, service provide payment, program documents, financial needs, and the budgeting process, using personal computer applications.
• Performs other related duties as required.
• Audit Billing Report of Case Managers, collecting billing information and processing monthly billings.
• Accurately create and journal notes in clients’ files and in Hawaii County of Aging software.
• Coordinate the new clients’ packets, client forms, client files, client services, and SFS marketing materials. Update mailing and phone listing when instructed.
• Compile and maintain records of client accounts.
• Screen feedback and requests from clients and communicate to the SFS Management Team any concerns or suggestions within the agency to provide solutions.
• Aid clients in person, on email, or during phone calls.
• Schedule appointments, meetings or telephone conferences between clients and management.
• Report client complaints to the SFS Management Team immediately. An SFS Incident report may be required to be completed and submitted to the Office Manager.
• Build and maintain close relationships with clients and SFS Team.
• Provide general management to the operations of home health agency.
• Oversee the work of staff to ensure that they meet the quality standards.
• Function as Liaison to the Management, Clients, and other relevant entities within the organization.
• Interfaces with Local, state, private and community agencies.
• Assist with marketing and advertising of the agency.
• Coordinate implementation of effective employee recruiting, selection, and retention according to established guidelines.
• Attends program events such as site visits, meetings, job fairs and other special projects relevant to the agency's business.
• Hiring, planning, assigning, rewarding, counseling, disciplining, addressing complaints and grievances and resolving problems.
• Assists in the staffing and scheduling of Direct Care Workers (Aides) with Agency Clients.
• Assists in assessing and determining field staffing needs in the respective assigned regions and request to HR Department for recruitment process and ensuring that all clients are staffed.
• Receives request for non-medical home care services from potential clients. Process all requests through proper intake procedures and assigned Aides as necessary.
• Confirms and verifies schedule with Clients and Aides and verifies that all home care visits are made.
• Responsible for entering and maintaining priorities in our scheduling.
• Call for contract authorization as needed.
• Primary and secondary respondent to inbound phone calls.
• Accepting other duties as assigned within the scope of job description.
• Assist Residents with Activities of Daily Living (ADL), served meals and feeding residents as needed.
• Takes care of residents’ personal hygiene, grooming, bed baths, shower, toileting, and ambulates if needed.
• Maintaining residents’ comfort and safety.
• Observed any changes with Residents vitals, intake, physical changes, and toilet changes.
• Documentation includes reporting, recording, tracking and documentation on residents’ flow sheets per Medicare reimbursement.
Multi-Tasking Skills: (multiple administrative positions simultaneously)
Communication Skills: (coordinate with administrators, insurance adjusters, employees, patient/residents/clients)
Decision-Making Skills: (multiple policy/management roles)
Time Management Skills: (priority determination and scheduling ability)
Organization Skills: (a neat and orderly desk, maintain deadline calendar)
Quick Learning Skills: (understanding, comprehending, and improving procedures)