Care Planner, Let's Go Home Program - Breslau, Canada - Community Support Connections

Sophia Lee

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Sophia Lee

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Description

Permanent, Full Time

$19.81/hour


At Community Support Connections, we wake up each morning energized about the difference we make in the lives of our clients; people who could be your parents, grandparents, friends, or neighbours.


Working with hundreds of amazing volunteers, donors, and community partners, we provide a wide range of community supports for older adults and people with different abilities to help them live at home with independence and dignity - something we all deserve.

We are truly caring and client-centered, and are constantly innovating; looking for new and better ways to provide the best care and supports possible.

Passion and commitment permeate everything we do. Driven by our values, we treat our clients, volunteers, donors, and each other, with dignity and respect. We recognize that diversity is the foundation for understanding the needs of our stakeholders.

We believe the best way to serve our clients and volunteers is to create an environment and culture that empowers our staff to be as productive and happy as possible.


That includes:

  • Versatile work options including flexible hours or working from home
  • Generous benefit days and group RRSPs
  • Competitive health and dental benefits
  • Access to our Employee and Family Assistance Plan
  • Onsite hot lunch options from our own kitchen
  • Free parking
If what we do resonates with your core values then we want to hear from you


The Role:


The Care Planner, LEGHO Program contributes to the mission of Community Support Connections by being responsible for providing intensive support and care planning for clients being discharged from hospital.

This position falls within the Social Wellbeing service umbrella.

The Care Planner will coordinate the implementation of LEGHO services and provide short term service coordination to clients living in the community.

This includes identifying client needs through collaborating with hospital discharge teams, using the preliminary (screener) assessment process, determining services to meet client needs after hospital discharge, developing service plans and collaborating with community partners to ensure that service needs are fully integrated to meet the needs of the client in the first four to six weeks of client's return to home.

Client Services

  • Receives referrals from Home at Last staff and Family Health Teams and promptly responds to those requests with a home visit
  • Assesses client's needs during home visits in accordance with agency assessment process and LEGHO eligibility criteria. This involves completing the InterRAI CHA prescreener, gathering agency intake information as required to gather information to guide the development of the care plan.
  • Develops short term service plans based on the clients' needs
  • Assists with referrals to external agencies and system navigation
  • Coordinates the delivery of services for clients by accessing both internal and external programs that would meet their needs
  • Informs clients and caregivers of the agency's programs, and other external supports in the community
  • Makes revisions to service plans as necessary during the 46week LEGHO program
  • Assists clients with laundry, homemaking, and meal preparation, when needed, with the approval of the Manager, Client Services
  • Communicate and collaborate with individuals from other community agencies to ensure client is receiving services
  • Followsup with client weekly during program timeline
  • Ensure a smooth transition from LEGHO program to other community supports that facilitate independent community living
Administrative/Data Management

  • Ensures all information and reports on clients, volunteers and workers involved with a service plan, including initial intake and service plan updates, are recorded accurately in AlayaCare
  • Prepares monthly statistics and reports
  • Completes incident reports and client complaints forms and informs appropriate manager for follow up
  • Performs other administrative tasks, such as filing and updates to forms, as needed

Education/Qualifications

  • Diploma/degree/certificate in a related field and 23 months related professional experience or equivalent combination of education and experience
  • Ability to speak languages other than English (especially Portuguese, Spanish, Serbian and/or Romanian) considered an asset.
  • Experience working with older adults and/or people with diverse abilities
  • Developed assessment skills
  • Valid Driver's License and daily access to a reliable vehicle for businessrelated travel
  • Current First Aid/CPR A Certificate

Working Hours & Environment

  • Willing and able to work occasional evenings and weekends
  • Extensive computer and telephone use
  • Willing and able to work occasionally from a home office
If this role sounds like the opportunity you have been looking for to challenge yourself, we would love to hear from you

Please submit resume and cover letter, clearly identifying the unique attributes

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