Advocating, assessing, assisting, collaborating, educating, evaluating, implementing and planning for members in various aspects of the member's life including but not limited to psychological, psychosocial, financial, environmental and interpersonal matters
Complete job duties in various settings including but not limited to the member's home, PACE site, different community settings (hospitals, SNF, ALF's, etc.)
Serve as the conduit among the member/family, the Interdisciplinary Care Team and other community agencies (acute care institutions, APS, skilled nursing facilities, Assisted Living Facilities ,etc.) to ensure the highest level of satisfaction from the start of care throughout their time on the program.
Provide support to the client through teaching the adaptation to illness and/or disability and treatment; assessing and evaluating psychosocial functioning; psychosocial discharge planning; facilitating the use of services offered by other community agencies; crisis intervention; mental status examinations and support with terminally ill patients