SUMMARY: Works with adults aged 18 and older, their families, and caregivers. Performs comprehensive biopsychosocial assessments and develops, implements, and monitors person-centered plans of care coordinating home and community-based long-term services and supports.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provides ongoing information and support to caseload of clients and their families and caregivers.
• Maintains strong relationships with partners and providers throughout the health and human service community.
• Conducts comprehensive biopsychosocial assessment independently or as member of an interdisciplinary team.
• Develops, implements, and monitors person-centered plans of care in accordance with established guidelines and standards.
• Evaluates the effectiveness and benefits of the services provided to participants.
• Provides motivational interviewing and coaching to help participants and caregivers achieve optimal social and health outcomes and goals important to them for quality of life.
• Provides advocacy and facilitates formal and informal care and services through external sources.
• Maintains current, accurate, and HIPAA compliant participant files and program records.
• Travels throughout Berrien, Cass, and Van Buren Counties for in-home assessments.

REQUIREMENTS:

Bachelor’s degree in health or human services or related field or equivalent experience preferably working with older adults and/or persons with disabilities. Current Michigan Licensure as RN, LBSW, LLMSW, or LMSW preferred. If unlicensed, must be willing to obtain certification as a Community Health Worker within one year of employment. Computer literacy in routine office applications required. General knowledge of long-term care, special populations, person-centered thinking, and community resources preferred.

ABOUT US:
Region IV, Area Agency on Aging, Inc. is a private, not-for-profit organization. Established in 1974 for the business of developing age supportive commerce and services. We play a major role in planning, funding, and delivery of a host of services. Empowerment and independence of the consumer are driving themes behind our efforts. Designated by the State of Michigan to receive federal Older Americans Act funds of planning and development, the corporation manages an array of government contracts for service delivery in southwest Michigan. Our primary service area includes Berrien, Cass, and Van Buren counties.

Region IV Area Agency on Aging (RIV AAA) is an equal opportunity employer. RIV AAA recruits, employs, trains, compensates, and promotes regardless of race, religion, color, national origin, sex, sexual orientation, disability, age, veteran status, and other protected status as required by applicable law. Bi-lingual applicants encouraged to apply. At RIV AAA we have a clear vision to be the place where a diverse mix of talented people want to come, to stay and do their best work. Our mission is “Offering Choices for Independent Lives.” We pride ourselves on bringing innovative approaches to fulfilling our mission, and we know our company runs on the hard work and dedication of our passionate and dedicated employees.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• Microsoft Office: 1 year (Preferred)
• care management: 1 year (Preferred)

Work Location: Hybrid remote in Saint Joseph, MI 49085

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