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Wellness Care Coordinator, Diabetes Project

Company: Union Station Homeless Services
Location: Pasadena
Posted on: June 11, 2018

Job Description:

SUMMARY: The Wellness Care Coordinator will be based in the Adult Center and will work with all USHS programs to support homeless patients who have been diagnosed with diabetes and referred by a local Federally Qualified Health Center RN Case Manager. The Wellness Care Coordinator will work with previously pre-screened homeless patients participating in the Wellness Care Coordination Model to support primary healthcare and social service needs. DUTIES AND RESPONSIBILITIES: Accept, screen, and process referrals received from ChapCares RN Case Manager. Conduct intake and enrollment with eligible clients, including: assisting clients with gathering program eligibility documentation, and completing program intake forms. Provide enhanced linkage to primary healthcare and social service support through the program annually. Patients in need of housing and social services will be offered these services in coordination with ChapCares RN Case Manager and a USHS Housing Navigator. Assist clients with accessing temporary housing until permanent housing is secured. Conduct comprehensive bio-psycho-social assessments. Develop individualized collaborative service plans for program participants. Strive to recognize the best in each patient and support the meaningful change they seek through building relationships and utilizing motivational interviewing techniques and strength based case management techniques. Meet with each patient on regularly scheduled basis and document progress and strength in progress notes/HMIS. Provide home and field based services as appropriate and transport program participants, as needed, to essential appointments that support their wellbeing. Assist program participants with their physical and mental health needs by providing support and linkage to appropriate services. Complete and submit required weekly and monthly program reports. MINIMUM QUALIFICATIONS: Proof of graduation from an approved nursing program with an associates degree or equivalent. California license as a RN, LPT, or LVN. Minimum of two years nursing experience working with clients who are very low income and/or experiencing homelessness. Two years-experience in case management or related role strongly desired. Skilled in use of Microsoft Windows, Microsoft Office (Word, Excel, Access, PowerPoint), and HMIS Homeless Management Information System. Knowledge of the dynamics of chemical dependency, mental disorders and the effects of homelessness. Bilingual in English/Spanish preferred. Knowledge of specific needs experienced by person living with diabetes. Possess valid California driver's license and have access to properly registered vehicle. Union Station Homeless Services is an Equal Opportunity Employer

Keywords: Union Station Homeless Services, Pasadena, Wellness Care Coordinator, Diabetes Project, Other, Pasadena, California

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