Provide consultation based on a comprehensive assessment of client's needs, service options and cost to older adults identified as at risk for long term care
To assist in developing a comprehensive plan of care for older adults choosing to decline long term placement based on client's ability to manage activities of daily living, cognitive function, emotional well-being, social and financial
To provide pre-screening assessments at all acute hospital settings within Aging Care Connections contracted area and post screens for patients admitted to long term care facilities within the agency’s contracted area.
To provide all documentation to providers as needed when arranging for interim services.
To refer patients to their MCO for waiver services as needed.
To provide an Interagency Certification of Screening Results for Long Term Care to older persons who choose nursing home
To provide opportunities to patients for a follow-up consultation and comprehensive assessment, if requested, following a short-term nursing home placement in order to promote a healthy transition assisting older persons wishing to return to their
To assess clients in the hospital prior to discharge, in the home prior to placement, in the nursing home prior to discharge to the community as dictated by client
To respect the client's right to self-determination.
To assist and involve families in decisions whenever
To maintain accurate documentation in compliance with the standards of the State of Illinois Department on Aging Choices for Care
To maintain organization, delegation, supervision and performance monitoring of Choices team.
To serve as back-up occasionally Saturdays, in the event that the weekend Choices for Care, Care Coordinator is unavailable.
To oversee projects and the day-to-day operations of the team, ensuring equal distribution of workload.
To perform any other duties assigned by the Transitional Care Supervisor or the Director of Social Services.
Master’s Degree in social science, social work or related field and one-year program experience in a social service capacity OR Bachelor’s Degree in social science, social work or related field and three-years program experience in a social service capacity.
Completion of preliminary and certification training for the Illinois Department on Aging Comprehensive Assessment
Ability to interact well with healthcare professionals, program officers and outside consultants at multiple levels
Ability to develop increased competency in assessment and understanding of public/private community resources.
Availability of an auto for home visits
About Aging Care Connections
Aging Care Connections is a non-profit organization based in La Grange, IL that serves 38 communities from the Lyons, Proviso, Riverside, Leyden and Norwood Park townships. The mission of Aging Care Connections is to enrich the quality of life in our community by providing older adults and their families with guidance and support that enhances the ability to age well. Aging Care Connections offers a wide range of programs and services to older adults and their family members. Programs and services are funded through State of Illinois contracts, Federal grants and private grants.