First Link Care Coordinator

Job information First Link Care Coordinator from the Company Alzheimer Society of Dufferin County, this latest First Link Care Coordinator job vacancy is located in the city Orangeville, ON. This latest job opening is open to job seekers who have the latest education / graduate . Job Vacancies in this Administrative field have been opened and published up to the specified time.

Job Responsibility:

Alzheimer Society of Dufferin County

The Alzheimer Society’s vision is a world without Alzheimer’s disease and other dementias. Our mission is to alleviate the personal and social consequences of Alzheimer’s disease and related dementias and to promote research.

OUR VALUES

Collaboration Accountability Respect Excellence

First Link Care Coordinator

Reports to: Executive Director

Supervises: N/A

Job Summary

The First Link Coordinator will coordinate and integrate supports and services around the person living with dementia and their care partner. In this direct client service role, they will be the key “go-to” person for families after a dementia diagnosis, with responsibility for identifying needs, supporting self-management goals, and strengthening the communication and care planning linkages between providers and across sectors along the continuum of care. The First Link Coordinator will strive to ensure that every person diagnosed with dementia and their care partners have timely access to information, learning opportunities and support when and where they need it.

Essential Duties and Responsibilities

Initial Contact, Assessment and Care Planning:

• Pro-actively manage incoming First Link referrals to facilitate early intervention and ensure that clients (people living with dementia and their care partners) have a named point of contact for care navigation support as early as possible before and/or after diagnosis
• Gather information, conduct, or review relevant assessments, and meet with clients (people living with dementia and care partners) to identify current and future needs, goals and level of risk.
• Establish appropriate intervention plans with internal and external resource matching to meet bio/psycho/social needs using a person/family-centered approach
• Identify needs related to care coordination across service providers and outline responsibilities of all parties

Navigation and Care Coordination:

• Support clients in navigating the system to access appropriate learning opportunities, support services, care and resources as identified in their individualized plan of service
• Pro-actively facilitate and advocate for linkages, communication, information exchange and coordination between clients and service providers along the continuum of care
• Facilitate regular and ongoing care conferences between clients/care partners and all members of client/care partner care team. This may include in-person meetings and use of a range of technology options and/or accommodations, including language translation services, video conferencing, etc.
• In collaboration with internal and external parties, engage in problem solving and develop strategies to address/overcome barriers in effective coordination/integration of supports and services
• Leverage and maintain positive working relationships with physicians, health care professionals, health, and community support service providers (e.g., hospitals, primary care, mental health, BSO, long-term care, retirement homes, police/EMS, specialized geriatrics, community Health Links), and other relevant partners through proactive outreach activities
• Support awareness of First Link to health professionals, service providers and other relevant community stakeholders in collaboration with internal and external partners
• Participate in internal/external committees on an ad hoc basis

Pro-active Follow-Up:

• Monitor and provide proactive follow-up for clients and care partners to ensure ongoing collaboration across services/providers and to identify opportunities for new or emerging care options to meet changing needs and to address service/support gaps
• Provide supports to clients and care partners as they transition through use of different parts of the health, social and residential care systems

Monitoring/Evaluation:

• Collect, maintain and report required quantitative and qualitative data to support province-wide monitoring, evaluation, and reporting
• In collaboration with the Alzheimer Society of Ontario and OH, participate in planning and implementation of evaluation to examine the overall effectiveness of First Link referral, intake, navigation, care coordination, and proactive follow-up functions, to ensure a timely response to emerging needs

Service Delivery Standards and Quality Improvement:

• Maintain confidential, accurate and current client records, including complete and thorough documentation for each client contact, in compliance with relevant privacy legislation and in accordance with professional standards and internal policies
• Ensure that client consents, privacy, and confidentiality are maintained in compliance with legislation, professional standards/regulations, and internal policies
• Maintain an advanced level of knowledge of Alzheimer’s disease and other dementias, including clinical manifestations, behaviours, current care practices, treatment options, placement options, available community resources, and all relevant legislation
• Assist with the development and maintenance of policies, procedures, and resources to support First Link referrals, intake, system navigation, care coordination, and follow-up activities
• Participate in knowledge transfer and exchange and collaborate with Alzheimer Societies across Ontario to support the delivery of best practices and ongoing quality improvement

Other Duties:

• Perform other duties consistent with the job classification, as required

Job Qualifications

Education:

• Bachelor’s degree in social work, gerontology, SSW or other related health care discipline.

Experience:

• 3 to 5 years client service experience in the health and/or social service sectors
• Experience working directly with people living with Alzheimer’s disease or other dementias and their care partners
• Experience and knowledge in management of chronic and complex health conditions
• Knowledge of available community services/supports and clinical, social, and residential care options
• Understanding of roles and linkages across primary care, community care and specialized geriatric services
• Strong knowledge of client-centered philosophy
• Knowledge of clinical practices and training models related to dementia (e.g.: P.I.E.C.E.S. and U-First!)
• Experience in assessment and care planning/coordination
• Experience working in settings requiring inter-professional collaboration

Other Knowledge, Skills, Abilities or Certifications:

• Excellent communication (verbal and written)
• Exceptional interpersonal skills, including shared decision-making and facilitation
• Ability to prioritize workload and manage competing tasks
• Ability to take initiative and be resourceful
• Excellent problem-solving and change management skills
• Proficiency in technology (e.g.: Microsoft office and case management and care coordination systems)
• Demonstrated ability to work independently and within a team
• Expertise and experience in cultural sensitivity and diversity
• Ability to speak French or other languages an asset

Travel Requirements:

• Must have access to a vehicle
• Travel as per required by position, travel to and from office and client home/community agencies.

Physical Demands:

• No special physical demands are required beyond the performance of general office duties
• Significant periods sitting at the computer, but with the opportunity to move away from the workstation
• Sensory attention is required for most of the workday (looking at computer screen, reading documents, etc.)

Please submit your resume and cover letter to: Carmelina Cicuto, Executive Director

Please include the ‘Job Title’ in the subject line.

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The Alzheimer Society of Dufferin County welcomes and encourages applications from everyone. Accommodations may available upon request for candidates taking part in all aspects of the selection process. If you would like to request a specific accommodation because of a disability or a medical need, please advise the Executive Director when you are selected to participate in the recruitment process.

The Alzheimer Society of Dufferin County provides equal employment opportunity for all applicants and Employees and do not discriminate on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, record of offences, marital status, family status, disability or any other characteristic protected by local law.

Job Types: Full-time, Fixed term contract

Pay: $23.00-$28.00 per hour

Schedule:

• Day shift
• Monday to Friday

Work Location: In person