Service Coordinator

Service Coordinators provide the following benefits to our residents:

Contacts made by the service coordinator on a resident’s behalf when the resident has reached an impasse or barrier to services, or is unable to advocate on his/her own behalf. Speaking out on behalf of the resident to achieve changes in the conditions that contribute to the resident’s problems and securing and protecting a resident’s existing rights or entitlements. Advocacy efforts can be both within and outside of the property.

• In-person contact between the resident and the service coordinator during which the resident identifies areas of need and the service coordinator identifies services which are available and appropriate to respond to those stated needs.
• Appraisal made by SC using the Resident Assessment Form and/or Resident Needs Assessment Form to identifying a resident’s needs, ADLs/IADLs, etc.
• Assistance in obtaining and/or completing an assessment by a service provider in the community.

• Assistance in applying for any government entitlement programs (federal, state, local), and/or any other public benefit program for which they are eligible; explain or otherwise assist in maintaining/re-determining benefits.
• Assistance with various other private insurance matters as requested (i.e., supplemental health insurance, life insurance, pension).

A procedure to plan, seek and monitor services from different outside community provider of services and staff on behalf of a resident. A service coordinator is not a case manager, but may provide case management to those residents that require additional assistance with service delivery beyond information and referral.

• Assistance in effort to resolve conflict by helping to clarify, educate, mediate, and propose compromises or alternative solutions to parties who are contesting some mutual objectives. Conflict may be between residents or between residents and management, service providers, or other parties.
• Assistance in obtaining Conflict Resolution Services through a community provider of these services.

• Crisis is either an internal experience of emotional change/distress or a disastrous event.
Intervening in a situation that could result in serious consequences to the residents health, safety and/or well-being. Helping or supporting resident in distress to promote effective coping that can lead to positive growth and change.
• Assistance in obtaining Crisis Intervention/Support through a community provider of these services (911, mobile crisis unit, suicide prevention hotline, APS).
• Serve as a “neutral sounding board” for resident to express their feelings around personal issues (i.e., loss or change), as appropriate. Provide empathy for and support of resident’s concerns, suggest possible coping methods and/or referral to professional counseling.

Assist resident by linking with an educational service, schooling, vocational training and/or employment or volunteer opportunities.

“Family” is defined as those individuals chosen by the resident as primary providers of support, whether actually relative or not (only with residents signed consent).
• Assist residents’ families in finding supports for themselves on issues such as caring for an elderly parent/loved one, grief and loss, etc.
• Contact with resident’s family regarding available services to resident.
• Contact with resident’s family members regarding resident’s functioning or changes in functioning.

• Assistance in obtaining information and/or referral to services that optimize and maintain the resident’s physical health— physician, medical professional, nutritionist, etc.
• Home Health Services, durable medical equipment & other adaptive equipment, prescription assistance and medication management, nutrition programs, lifeline Programs.
• Appointments for any medical exams including eye glasses, dental, hearing aids.
• Completion of forms, assistance with medical record management.
• End of life decision-making, advanced directives, wills.

Assistance in obtaining services to enable the resident to remain in their own home, including apartment cleaning, laundry, shopping, cooking, whether service provided through government program, fee-for-service or volunteer assistance.

Service or support to assist resident with keeping, managing, and maintaining all aspects of their home other than homemaking (identified above). This includes money management, budgeting, bill paying, reading mail, organization of personal records, phone and cable company issues.

• Informing residents of lease provisions and/or of behaviors/problems that could lead to lease violations, such as noise, odors, unsanitary or unsafe conditions in apartments (hoarding and clutter) or common areas.
• Linking residents with a member of the Property Management Team for assistance with understanding their lease and house rules.
• Coordinating with property management the need for reasonable accommodation as defined by the ADA when a resident’s mental, physical or social disability is impeding compliance with the lease.

• Arranging for services to ensure resident is receiving adequate nutrition. Referrals to congregate meal sites, Meals on Wheels programs.
• Accessing emergency food programs and food banks.
• Arranging for grocery shopping or cooking service.
• Other meal access (family, friends, other resident, etc.).
• Donated holiday food items.

Assistance with linking residents with a psychiatrist, mental health case worker, counselor, therapist, support group, and any other providers designed to assist with emotional wellness issues.

• Follow-up on service outcomes or verification services that have been received, that the services are meeting needs, and whether new or additional resources might be needed.
• Conduct client satisfaction surveys.

• Information, referral and support regarding use of addictive substances (tobacco, alcohol, drugs – prescription & street).
• Assistance with linking residents to a treatment programs.
• Referrals to American Lung Association or other smoking cessation programs.
• Referrals to alcohol and drug treatment facilities, and/or other professionals.
• Referrals to AA (Alcoholics Anonymous) or other self-help program.

• Assistance with transferring to another property, a different unit within the property, or to an alternative care facility either temporarily or permanently.
• Provide information and assistance regarding housing options, both permanent and temporary arrangements.

Providing information regarding or arranging for transportation to take resident to medical or other personal appointments, religious, social or recreational activities.
Examples include:
• Complete para-transit applications and/or taxi cab vouchers
• Scheduling appointments for rides
• Assisting with public transportation, disabled discount cards