H.O.P.E. Program Opportunities
AgeOptions
- Illinois
- $80,000 per year
- Permanent
- Full-time
- Assess nursing home residents through interviews and evaluations with the resident, family and informal supports, and nursing facility staff including reviewing medical records. You will identify strengths, areas of development and independent living skills needed to support transition to the community.
- Develop a comprehensive, person-centered service plan for each resident identifying their goals for transition and community integration.
- Work with the resident to develop life skills, identify service and supports, advocate and assist in obtaining all necessary equipment, medical care and supports necessary for a safe transition.
- Facilitate discharge planning and transition to community with client, nursing facility staff, health plan, H.O.P.E. colleagues and other identified supports.
- Provide on-going comprehensive care management after the client transitions into the community, including coordinating benefits, in-home services and community resources; schedule medical appointments and advocates for clients as needed.
- Provide motivational interviewing to create harm reduction plans, crisis plans and 24 hour back-up plans.
- Collaborate with partner agencies to facilitate all aspects of the transition.
- Follow all program standards and procedures.
- Nurses with RN or LPN certification.
- Social Workers with Bachelor's or Master's Degree (MA, MSW) in social work, counseling, psychology, or related field.
- Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC), preferred
- Minimum of 1 year experience in providing social services
- Interest in working directly with individuals and assisting them with transitions
- Experience in working directly with clients with severe mental health conditions, substance abuse and/or complicated physical illness preferred
- Excellent written and oral communication skills needed, with demonstrated ability to engage clients
- Computer skills required: Microsoft Office Suite; ability to learn proprietary program databases
- Knowledge of community supportive services
- Sensitivity to cultural diversity
- Ability to work with people who have multi-faceted needs
- This position regularly works in the field and must travel throughout the greater Chicagoland area (city, suburbs and collar suburbs). Daily access to reliable transportation is a requirement.
- Experience with Community Care Program (CCP) or other care management program, preferred
- Experience with Colbert and/or Williams consent decrees, preferred