Salary Grade: 16 ($50, 325 - $65, 675 - $81, 024)

FLSA: Exempt

The purpose of this classification is to assess eligibility and monitor client participation in a variety of services; and to perform full patient care cycle to include monitoring and evaluating actions required to meet health and human services needs.

Essential Functions:

The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.

Provides consultation and information to clients, volunteers, service providers and the general public regarding programs and activities related to senior services; researches and explains internal and external programs, services, requirements and availability; and maintains information and knowledge of federal and state benefits and community-based programs.

Assesses, screens and determines client referrals for service eligibility; conducts interviews, needs assessments and home visits, prepares initial assessment of cognitive, physical, social, economic and emotional status/functionality of individuals.

Develops, implements and monitors comprehensive plan of care for clients based on assessment, client expectations, and availability of services; initiates/ coordinates services and maintains contact with service providers; collaborates with client, family, and informal supports to implement plan; reviews and updates care plans; evaluates service provision; monitors progress; and adheres to federal, state and agency policies regarding service eligibility and monitoring.

Assists general public and clients with locating and applying for financial and material assistance, completing applications; information and submitting documentation to agencies.

Maintains client case files in departmental database; documents client visits, services provided, client progress; inputs, updates and changes information as needed and; maintains service logs.

Participates in special projects or programs of the assigned center, delivers meals and care packages to homebound clients and takes applications for assistance programs.

Maintains a comprehensive, current knowledge of applicable policies, procedures, regulations, codes, and other regulatory standards related to aging services; maintains awareness of available community services and resources; attends workshops, seminars, and training sessions as appropriate.

Minimum Qualifications:
Bachelors degree in Social Work, Counseling or a related field required; at least 2 years of experience in assessments, social work or related field; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job.

Supplemental Information:

• Visit homeless encampment sites and other places where unsheltered individuals are located to engage them and offer emergency housing, and supportive services as directed by the DeKalb County Community Development staff.
• Follow-up with individuals and households who are unsheltered residing in hotels in Dekalb County as directed by DeKalb County Community Development staff.
• Locate, identify, and build relationships with unsheltered homeless individuals for the purpose of providing immediate support, intervention, and referrals to homeless assistance programs and/or mainstream social services and housing programs.
• Connect unsheltered individuals to community resources for the housing, emergency physical and/or mental health treatment, transportation and other assistance that will enable individuals to establish and maintain housing, and self-sufficiency.
• Assist homeless individuals in obtaining identification and documentation required to obtain jobs, housing, and/or other services.
• Experience entering information into the DeKalb Homeless Management Information System- ECCOVIA Solutions' ClientTrack system, the designated Homeless Management Information System (HMIS) for the Continuum of Care, and all relevant fields as required by DeKalb County Community Development.
• Experience in working/collaborating with homeless agencies that provide HUD funded homeless services.