Aging Care Manager - AAA

COUNTY OF BUCKS ------------------ ------------------------- --------------- ------ JOB TITLE: Aging Care Manager JOB CODE: 0583 DEPARTMENT: Area Agency on Aging UNION: 04 FLSA STATUS: Non-Exempt GRADE: 35 REPORTS TO: Aging Care Mgr Sup I/II ------------------ ------------------------- --------------- ------ POSITION SUMMARY: Performs direct casework activities with clients of the AAA. Completes intakes, assesses and reassesses the functioning and needs of clients, determines level of care for individuals seeking state funding for care, develops care plans, and arranges for provision of needed services. Works under the supervision of an Aging Care Management Supervisor I or II. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Performs intake, screens applicants for appropriateness and refers to other resources and community services as needed. 2. Conducts comprehensive assessment of care needs within regulatory guidelines and time parameters through personal contact with the client. Areas of assessment include physical health, activities of daily living, mental status, nutrition, social contacts, supports, physical environment, economic resources and recent experiences. Gathers and evaluates additional medical, financial and social data as needed or required. 3. For those clients seeking state funding for care in a long-term care facility: 4. Determines applicants' level of care, in consultation with RN and supervisor. 5. For those clients planning to continue living in the community, as applicable: 6. Determines applicants' level of care and recommends most appropriate program for care provision, in consultation with RN and supervisor. 7. Collaboratively with client and significant others, develops a Care Plan which details client's strengths, needs, and plans for meeting those needs through informal or formal means. 8. Arranges for additional specialized assessments such as medical, psychiatric, social, psychological or functional that may be required for subsequent referrals. 9. Promptly implements the care plan including coordinating informal supports, determining eligibility for and arranging for delivery of agency-contracted services and any other available services. 10. Contacts clients regularly and performs comprehensive reassessment of clients, their situations, and their plans of care, revising care plans as needed. 11. Maintains ongoing contact with service providers, ensuring provision and appropriateness of services. 12. Follows up to ensure client satisfaction and appropriateness of service and to offer additional services as needed. 13. Provides personal advocacy, if needed, to ensure the satisfactory delivery of services. 14. Completes necessary paper/computer-work and performs related tasks; and maintains records as required. 15. Participates in training as needed/required. 16. Meets state credentialing requirements within required time frame and maintains same. 17. When/if qualified by training and experience, receives and investigates reports of elder abuse, neglect, and exploitation under Older Adult Protective Service function. When trained, must perform some on-call after hours coverage on rotation basis with other workers. 18. Provides completion of forms, preparation of reports, attendance at meetings, data collection, and maintenance of case records as required. 19. Provides direction, training, and support to volunteers, students and case aides. 20. Performs public education/presentations, community outreach activities, and maintains an inventory of relevant publications as assigned. 21. Coordinates program specific activities, such as, PA MEDI, Ombudsman and the Volunteer Program as assigned. Duties may include, but are not limited to: community outreach, volunteer vetting and coordination; project development; compiling and analyzing pro ect data; suggestions for project improvements. QUALIFICATIONS REQUIRED: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. One year of experience in public or private social work and a bachelor's degree which includes or is supplemented by 12 college-level credit hours in sociology, social work/social welfare, psychology, gerontology, or other related social sciences; or a bachelor's degree with a social work/social welfare major; or an equivalent combination of experience and training including successful completion of 12 college-level credit hours in sociology, social welfare, psychology, gerontology, or other related social sciences. 2. Must be computer literate with ability to learn as technology develops. 3. Ability to understand ongoing agency program/goals and to communicate this to the public. 4. Ability to work with the public effectively in challenging situations. 5. Ability to read, analyze and interpret clinical records, reports, business periodicals, professional journals, technical procedures or government regulations. Ability to write reports and correspondence.