Job Order Detail

Description

Provide comprehensive case management services.
    Conduct initial assessments and reassessments using approved assessment tools within program budget guidelines.
    Interview members of the clients support system as needed to gather relevant information.
    Demonstrate strong interpersonal and written communication skills while maintaining objective, accurate, and timely client documentation.
    Develop individualized care plans based on assessment findings and client/support system input.
    Create clientspecific task lists with clear instructions for Home Health Aides, homemakers, or maintenance workers.
    Initiate emergency services when required to protect client health and safety.
    Collaborate with physicians and other health professionals or partner organizations to support coordinated client care.
    Provide direct nursing care according to established care plans.
    Monitor client progress, evaluate outcomes, and recommend changes to the care plan when appropriate.
    Serve as a resource and liaison for clients and their families, supporting education and advocacy.
    Maintain accurate records and complete monthend reports as required.
    Encourage and promote client independence through supportive decisionmaking and care strategies.
    Arrange ongoing personal care services when client needs exceed what can be safely provided by a Home Health Care Aide.
    Supervise WDN Home Health Care Aides, ensuring highquality service delivery.