Job Description

•Determine clients' acuity level and eligibility for assistance

•Conduct home and hospital visits as needed

•Collect information about clients, and enter information into databases

•Gather necessary documentation from clients in a timely manner

•Maintain and timely update of client and/or family interactions log

•Maintain case history records, prepare reports, and ensure readiness for quarterly audits

•Research local and national organizations to identify resources to meet the specific needs of clients and their families

•Refer patients to appropriate health care, community or social services or resources

•Coordinate communication between patients, family members, medical and administrative staff, insurance companies and other external partners

•Create and modify plans of care to meet client needs and goals

•Monitor clients to evaluate the plans of care progress

•Complete documentation required by programs or regulations

•Provide emotional support to clients and family members

•Provide advocacy to client families as needed, including making phone calls, writing letters, or accompanying clients to meetings

•Assist in ad hoc assignments

Experience Required

1-2 years