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Wellness Coordinator

Wsfssh · On Site · Active · JazzHR / ApplyToJob

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FieldValue
CompanyWsfssh
TitleWellness Coordinator
Normalized title-
Department / team-
Location-
Work modelOn Site
Employment type-
Salary-
Statusactive
ATS providerJazzHR / ApplyToJob
Posted / first seen / 2026-05-30
Changed / last seen2026-05-30 / 2026-06-06

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Linked records

CompanyWsfssh
Sourceb5007280-c9b5-470a-b7ca-4b190737c00e
ATS providerJazzHR / ApplyToJob

Description

Position Title Wellness Coordinator About West Side Federation for Senior and Supportive Housing (WSFSSH) The West Side Federation for Senior and Supportive Housing, Inc. (WSFSSH) is a community‐based organization whose mission is to provide safe, affordable housing with supportive services within a residential setting which enhances the independence and dignity of each person. WSFSSH develops and manages housing and provides social services for low‐income older persons, many of whom live with mental illness and/or have experienced homelessness. Our 440 staff members serve more than 2600 residents in 30 buildings located throughout Manhattan and the Bronx . About WSFSSH’s Wellness Initiative WSFSSH’s Wellness Initiative seeks to create a culture of wellness within our residential developments for older adults to facilitate the adoption of healthy habits that will improve their overall physical, emotional, and mental well-being. We aim to identify, develop and implement best practices to improve health outcomes for older adults, including and particularly for those with histories of homelessness, mental illness and/or substance abuse. An overarching goal of the initiative is to increase our resident connections to high quality primary and preventive health care so as to encourage better resident health management and quality of life through reduced emergency room visits and hospitalizations. The initiative will focus on utilizing appropriate primary and preventive medical care, managing chronic conditions (including medication management), and expanding resident knowledge of healthy habits such as increasing physical activity and consuming more nutritional food. Position Overview The Wellness Coordinator report to the Director of Clinical and Social Services and is responsible for the overall coordination of residents’ health-related services at the site level. The Coordinator must be capable of comprehending complex public health issues and have the ability to develop programs and strategies to engage residents in taking a more proactive approach to their health. The Coordinator builds relationships with the residents and their care team (physicians, nurses, social workers, etc.) to coordinate and ensure the provision of health-related services. The Coordinator assists the residents and their social workers with navigating health-related systems, access issues, and service coordination. The Coordinator acts as a liaison to external health agencies and serves as a conduit for the transmission of health information between WSFSSH’s social work team and the health care providers. Note: This position is funded by a 2- year grant. Continued employment in this role may be contingent upon receipt of additional grant funding. Candidates with appropriate credentials may have the opportunity to transfer to other roles within WSFSSH upon conclusion of the grant term. Essential Duties and Responsibilities Program Design Build collaborative partnerships with third party health and wellness providers, including but not limited to the on-site Federally Qualified Health Center (FQHC), area hospitals, physicians and medical practices, pharmacies, and PACE providers to focus on coordination of care, sharing of care information, and co-creation of programs focused on the health and wellness of residents Give specific focus to programs and focus groups for seniors with high-need (high cost) health conditions (e.g. diabetes management, falls prevention, weight control, high blood pressure control, etc.) Assessment/Data Collection Work with the residents and residents’ social workers to complete initial and ongoing health screens and surveys aimed at identifying the residents’ physical, emotional, and mental health needs and to develop plans of care that are comprehensive in meeting those needs. Coordinate all documentation and data entry associated with the wellness initiative Track resident enrollment with Medicaid Managed Long Term Care Organizations (MCOs) Obtain resident consents to share health related data Verify that resident Electronic Medical Records are updated after each health care visit and share updated health dashboards with residents’ social workers Collaborate with staff within WSFSSH’s data department to regularly monitor and analyze resident health-related data and to assess program performance at both an aggregate and individualized level – with the goal of continuously identifying barriers to quality care to refine best practices Compile data and generate program updates for internal and external stakeholders, including grant funders, WSFSSH leadership, and WSFSSH’s on-site care teams Health Care Coordination Initiate and maintain relationships with the resident/resident’s social worker and the third parties providing health-related services to the resident (e.g. physicians, hospitals, health clinics, limited licensed home care agencies, PACE providers, etc.) Specifically build a strong relationship with the on-site (FQHC) to actively refer residents for primary (and specialty) care Schedule resident medical appointments and assist residents in attending their appointments, including facilitating transport Provide post-appointment coordination as appropriate (e.g. obtaining prescriptions, scheduling follow-ups) Troubleshoot maintenance of residents’ health related entitlements, including Medicare, Medicaid, and personal care assistance provided by Limited Licensed Home Care Agencies under contract with MCOs Care Plan Communication Participate in regular team meetings with WSFSSH on-site wellness staff (nurse, social workers and medication management staff) to review resident care plans Provide regular communication to on-site staff regarding resident-specific wellness updates Wellness Programming Plan, lead and implement health-related group activities and events for residents, including and in particular activities sponsored by the on-site FQHC Plan and conduct resident outreach to encourage participation in wellness activities Develop and lead focus groups with residents who have high-need (high-cost) health conditions (e.g. diabetes management, falls prevention, weight control, high blood pressure, etc.) Qualifications Familiar with health issues and concerns prevalent in underserved communities of color Masters degree, or experiential equivalent, in Human Services, Public Health, Social Work, or a related area Proven knowledge of health-related community resources, including a clear understanding of health-related benefits and entitlements, as demonstrated by a minimum of 2 years of job-related experience Prior experience providing case management &/or medical focused care coordination services to individuals with chronic medical conditions is strongly preferred Bilingual Spanish speaking preferred Prior experience working with older adults preferred Strong oral and written communication skills, including the ability to effectively present information and respond to questions from internal/external sources Salary Commensurate with experience. Equal Opportunity Employer WSFSSH is committed to principles of Diversity, Inclusion & Equity. Individuals with life experiences as a person of color; being LGBTQIA+; having a disability; &/or having a family background which can contribute different views to the workplace – such as experiences of poverty or housing insecurity — are strongly encouraged to apply. WSFSSH is an Equal Employment Opportunity Employer (EEO); employment is based upon employees’ qualifications without discrimination on the basis of race, creed, color, national origin, religion, sex, age, disability, marital status, sexual orientation, military status, citizenship status, genetic predisposition or carrier status, or any other protected characteristic as established by law.

Full job record

Job IDc63deabe49cbac98024fb4f671e1186a284527e8
Org IDc4c7d8a2-0b15-4f36-8024-33f00cc4d31b
Source IDb5007280-c9b5-470a-b7ca-4b190737c00e
Board IDb5007280-c9b5-470a-b7ca-4b190737c00e
Providerjazzhr
Provider Job KeyHojIfJPj2F
TitleWellness Coordinator
Normalized Title
Statusactive
Activeyes
Location Text
Department
Team
Employment Type
Workplace Typeon_site
Remote Policy
Country
Region
City
Salary Raw
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://wsfssh.applytojob.com/apply/HojIfJPj2F/Wellness-Coordinator
Apply URLhttps://wsfssh.applytojob.com/apply/HojIfJPj2F/Wellness-Coordinator
First Seen At2026-05-30 06:02:25Z
Last Seen At2026-06-06 10:47:37Z
Last Checked At2026-06-06 10:47:37Z
Last Changed At2026-05-30 06:02:25Z
Inactive At
Source Posted At
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=jazzhr/board=wsfssh/date=2026-06-06/2026-06-06T10-47-35-345Z-09b4a800d1c54981ab12dda27965514d243042b1549cb9018a1532dc8a696478.json
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  "detail": {
    "url": "https://wsfssh.applytojob.com/apply/jobs/details/HojIfJPj2F?&",
    "heading": "Wellness Coordinator",
    "html_title": "JazzHR » Job Listings",
    "canonical_url": "https://wsfssh.applytojob.com/apply/HojIfJPj2F/Wellness-Coordinator",
    "description_html": "<div class=\"job_description\">\n\t\t\t\t\t<p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u><span style=\"background:white\"><span style=\"color:black\">Position Title</span></span></u></b><br /><span style=\"background:white\"><span style=\"color:black\">Wellness Coordinator</span></span></span></span></span></p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u>About West Side Federation for Senior and Supportive Housing (WSFSSH)</u></b><br /><em><span lang=\"EN\" style=\"background:white\"><span style=\"color:black\">The West Side Federation for Senior and Supportive Housing, Inc. (WSFSSH) is a community‐based organization whose mission is to provide safe, affordable housing with supportive services within a residential setting which enhances the independence and dignity of each person.&nbsp; WSFSSH develops and manages housing and provides social services for low‐income older persons,&nbsp;many of whom live with mental illness and/or have experienced homelessness. Our 440 staff members serve more than 2600 residents in 30 buildings </span></span>located throughout Manhattan and the Bronx<span style=\"background:white\"><span style=\"color:black\">.&nbsp;</span></span></em></span></span></span></p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u>About WSFSSH’s Wellness Initiative</u></b><br />WSFSSH’s Wellness Initiative seeks to create a culture of wellness within our residential developments for older adults to facilitate the adoption of healthy habits that will improve their overall physical, emotional, and mental well-being. We aim to identify, develop and implement best practices to improve health outcomes for older adults, including and particularly for those with histories of homelessness, mental illness and/or substance abuse.&nbsp; An overarching goal of the initiative is to increase our resident connections to high quality primary and preventive health care so as to encourage better resident health management and quality of life through reduced emergency room visits and hospitalizations.&nbsp; The initiative will focus on utilizing appropriate primary and preventive medical care, managing chronic conditions (including medication management), and expanding resident knowledge of healthy habits such as increasing physical activity and consuming more nutritional food. </span></span></span></p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u>Position Overview</u></b><br /><span style=\"background:white\"><span style=\"color:black\">The Wellness Coordinator report to the Director of Clinical and Social Services and is responsible for the overall coordination of residents’ health-related services at the site level. The Coordinator must be capable of comprehending complex public health issues and have the ability to develop programs and strategies to engage residents in taking a more proactive approach to their health.</span></span> <span style=\"background:white\"><span style=\"color:black\">The Coordinator builds relationships with the residents and their care team (physicians, nurses, social workers, etc.) to coordinate and ensure the provision of health-related services. The Coordinator assists the residents and their social workers with navigating health-related systems, access issues, and service coordination. The Coordinator acts as a liaison to external health agencies and serves as a conduit for the transmission of health information between WSFSSH’s social work team and the health care providers. &nbsp;</span></span></span></span></span><br /><br /><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\"><b>Note:&nbsp; This position is funded by a 2- year grant. Continued employment in this role may be contingent upon receipt of additional grant funding.&nbsp; Candidates with appropriate credentials may have the opportunity to transfer to other roles within WSFSSH upon conclusion of the grant term.</b></span></span></span></span></span><br />&nbsp;</p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u><span style=\"background:white\"><span style=\"color:black\">Essential Duties and Responsibilities </span></span></u></b></span></span></span></p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><span style=\"background:white\"><span style=\"color:black\">Program Design</span></span></b></span></span></span></p><ul><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Build collaborative partnerships with third party health and wellness providers, including but not limited to the on-site Federally Qualified Health Center (FQHC), area hospitals, physicians and medical practices, pharmacies, and PACE providers to focus on coordination of care, sharing of care information, and co-creation of programs focused on the health and wellness of residents</span></span></span></span></span></li><li style=\"margin-bottom:13px; margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Give specific focus to programs and focus groups for seniors with high-need (high cost) health conditions (e.g. diabetes management, falls prevention, weight control, high blood pressure control, etc.)</span></span></span></span></span></li></ul><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><span style=\"background:white\"><span style=\"color:black\">Assessment/Data Collection</span></span></b></span></span></span></p><ul><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Work with the residents and residents’ social workers to complete initial and ongoing health screens and surveys aimed at identifying the residents’ physical, emotional, and mental health needs and to develop plans of care that are comprehensive in meeting those needs.</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Coordinate all documentation and data entry associated with the wellness initiative </span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Track resident enrollment with Medicaid Managed Long Term Care Organizations (MCOs)</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Obtain resident consents to share health related data</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Verify that resident Electronic Medical Records are updated after each health care visit and share updated health dashboards with residents’ social workers</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Collaborate with staff within WSFSSH’s data department to regularly monitor and analyze resident health-related data and to assess program performance at both an aggregate and individualized level – with the goal of continuously identifying barriers to quality care to refine best practices </span></span></span></span></span></li><li style=\"margin-bottom:13px; margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Compile data and generate program updates for internal and external stakeholders, including grant funders, WSFSSH leadership, and WSFSSH’s on-site care teams</span></span></span></span></span></li></ul><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><span style=\"background:white\"><span style=\"color:black\">Health Care Coordination</span></span></b></span></span></span></p><ul><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Initiate and maintain relationships with the resident/resident’s social worker and the third parties providing health-related services to the resident (e.g. physicians, hospitals, health clinics, limited licensed home care agencies, PACE providers, etc.)</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Specifically build a strong relationship with the on-site (FQHC) to actively refer residents for primary (and specialty) care</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Schedule resident medical appointments and assist residents in attending their appointments, including facilitating transport</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Provide post-appointment coordination as appropriate (e.g. obtaining prescriptions, scheduling follow-ups)</span></span></span></li><li style=\"margin-bottom:13px; margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Troubleshoot maintenance of residents’ health related entitlements, including Medicare, Medicaid, and personal care assistance provided by Limited Licensed Home Care Agencies under contract with MCOs</span></span></span></li></ul><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><span style=\"background:white\"><span style=\"color:black\">Care Plan Communication</span></span></b></span></span></span></p><ul><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Participate in regular team meetings with WSFSSH on-site wellness staff (nurse, social workers and medication management staff) to review resident care plans</span></span></span></li><li style=\"margin-bottom:13px; margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Provide regular communication to on-site staff regarding resident-specific wellness updates</span></span></span></li></ul><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><span style=\"background:white\"><span style=\"color:black\">Wellness Programming</span></span></b></span></span></span></p><ul><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Plan, lead and implement health-related group activities and events for residents, including and in particular activities sponsored by the on-site FQHC</span></span></span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Plan<b> </b>and conduct resident outreach to encourage participation in wellness activities</span></span></span></li><li style=\"margin-bottom:13px; margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Develop and lead <span style=\"background:white\"><span style=\"color:black\">focus groups with residents who have high-need (high-cost) health conditions (e.g. diabetes management, falls prevention, weight control, high blood pressure, etc.)</span></span></span></span></span></li></ul><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><span style=\"background:white\"><span style=\"color:black\">Qualifications</span></span></b></span></span></span></p><ul><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Familiar with health issues and concerns prevalent in underserved communities of color</span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Masters degree, or experiential equivalent,</span></span> in Human Services, Public Health, Social Work, or a related area </span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\">Proven knowledge of health-related community resources, including a clear understanding of health-related benefits and entitlements, as demonstrated by a <span style=\"background:white\"><span style=\"color:black\">minimum of 2 years of job-related experience </span></span></span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Prior experience providing case management &amp;/or medical focused care coordination services to individuals with chronic medical conditions is strongly preferred</span></span></span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Bilingual Spanish speaking preferred</span></span></span></span></span></li><li style=\"margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Prior experience working with older adults preferred</span></span></span></span></span></li><li style=\"margin-bottom:13px; margin-left:8px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><span style=\"background:white\"><span style=\"color:black\">Strong oral and written communication skills, including the ability to effectively present information and respond to questions from internal/external sources </span></span></span></span></span></li></ul><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u><span style=\"background:white\"><span style=\"color:black\">Salary</span></span></u></b><br /><span style=\"background:white\"><span style=\"color:black\">Commensurate with experience.</span></span></span></span></span></p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><b><u><span style=\"background:white\"><span style=\"color:black\">Equal Opportunity Employer</span></span></u></b><br /><strong><span style=\"font-family:&quot;Calibri&quot;,sans-serif\"><span style=\"font-weight:normal\">WSFSSH is committed to principles of Diversity, Inclusion &amp; Equity.&nbsp; Individuals with life experiences as a person of color; being LGBTQIA+; having a disability; &amp;/or having a family background which can contribute different views to the workplace – such as experiences of poverty or housing insecurity — are strongly encouraged to apply.</span></span></strong></span></span></span></p><p style=\"margin-bottom:13px\"><span style=\"font-size:11pt\"><span style=\"line-height:115%\"><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:&quot;Calibri&quot;,sans-serif\"><span style=\"font-weight:normal\">WSFSSH is an Equal Employment Opportunity Employer (EEO); employment is based upon employees’ qualifications without discrimination on the basis of race, creed, color, national origin, religion, sex, age, disability, marital status, sexual orientation, military status, citizenship status,&nbsp;genetic predisposition or carrier status, or any other protected characteristic as established by law.</span></span></strong></span></span></span></p><p style=\"margin-bottom:13px\">&nbsp;</p>",
    "description_text": "Position Title\n Wellness Coordinator\n About West Side Federation for Senior and Supportive Housing (WSFSSH)\n The West Side Federation for Senior and Supportive Housing, Inc. (WSFSSH) is a community‐based organization whose mission is to provide safe, affordable housing with supportive services within a residential setting which enhances the independence and dignity of each person. WSFSSH develops and manages housing and provides social services for low‐income older persons, many of whom live with mental illness and/or have experienced homelessness. Our 440 staff members serve more than 2600 residents in 30 buildings located throughout Manhattan and the Bronx .\n About WSFSSH’s Wellness Initiative\nWSFSSH’s Wellness Initiative seeks to create a culture of wellness within our residential developments for older adults to facilitate the adoption of healthy habits that will improve their overall physical, emotional, and mental well-being. We aim to identify, develop and implement best practices to improve health outcomes for older adults, including and particularly for those with histories of homelessness, mental illness and/or substance abuse. An overarching goal of the initiative is to increase our resident connections to high quality primary and preventive health care so as to encourage better resident health management and quality of life through reduced emergency room visits and hospitalizations. The initiative will focus on utilizing appropriate primary and preventive medical care, managing chronic conditions (including medication management), and expanding resident knowledge of healthy habits such as increasing physical activity and consuming more nutritional food.\n Position Overview\n The Wellness Coordinator report to the Director of Clinical and Social Services and is responsible for the overall coordination of residents’ health-related services at the site level. The Coordinator must be capable of comprehending complex public health issues and have the ability to develop programs and strategies to engage residents in taking a more proactive approach to their health. The Coordinator builds relationships with the residents and their care team (physicians, nurses, social workers, etc.) to coordinate and ensure the provision of health-related services. The Coordinator assists the residents and their social workers with navigating health-related systems, access issues, and service coordination. The Coordinator acts as a liaison to external health agencies and serves as a conduit for the transmission of health information between WSFSSH’s social work team and the health care providers.\n Note: This position is funded by a 2- year grant. Continued employment in this role may be contingent upon receipt of additional grant funding. Candidates with appropriate credentials may have the opportunity to transfer to other roles within WSFSSH upon conclusion of the grant term.\n Essential Duties and Responsibilities\n Program Design\n Build collaborative partnerships with third party health and wellness providers, including but not limited to the on-site Federally Qualified Health Center (FQHC), area hospitals, physicians and medical practices, pharmacies, and PACE providers to focus on coordination of care, sharing of care information, and co-creation of programs focused on the health and wellness of residents\n Give specific focus to programs and focus groups for seniors with high-need (high cost) health conditions (e.g. diabetes management, falls prevention, weight control, high blood pressure control, etc.)\n Assessment/Data Collection\n Work with the residents and residents’ social workers to complete initial and ongoing health screens and surveys aimed at identifying the residents’ physical, emotional, and mental health needs and to develop plans of care that are comprehensive in meeting those needs.\n Coordinate all documentation and data entry associated with the wellness initiative\n Track resident enrollment with Medicaid Managed Long Term Care Organizations (MCOs)\n Obtain resident consents to share health related data\n Verify that resident Electronic Medical Records are updated after each health care visit and share updated health dashboards with residents’ social workers\n Collaborate with staff within WSFSSH’s data department to regularly monitor and analyze resident health-related data and to assess program performance at both an aggregate and individualized level – with the goal of continuously identifying barriers to quality care to refine best practices\n Compile data and generate program updates for internal and external stakeholders, including grant funders, WSFSSH leadership, and WSFSSH’s on-site care teams\n Health Care Coordination\n Initiate and maintain relationships with the resident/resident’s social worker and the third parties providing health-related services to the resident (e.g. physicians, hospitals, health clinics, limited licensed home care agencies, PACE providers, etc.)\n Specifically build a strong relationship with the on-site (FQHC) to actively refer residents for primary (and specialty) care\n Schedule resident medical appointments and assist residents in attending their appointments, including facilitating transport\n Provide post-appointment coordination as appropriate (e.g. obtaining prescriptions, scheduling follow-ups)\n Troubleshoot maintenance of residents’ health related entitlements, including Medicare, Medicaid, and personal care assistance provided by Limited Licensed Home Care Agencies under contract with MCOs\n Care Plan Communication\n Participate in regular team meetings with WSFSSH on-site wellness staff (nurse, social workers and medication management staff) to review resident care plans\n Provide regular communication to on-site staff regarding resident-specific wellness updates\n Wellness Programming\n Plan, lead and implement health-related group activities and events for residents, including and in particular activities sponsored by the on-site FQHC\n Plan and conduct resident outreach to encourage participation in wellness activities\n Develop and lead focus groups with residents who have high-need (high-cost) health conditions (e.g. diabetes management, falls prevention, weight control, high blood pressure, etc.)\n Qualifications\n Familiar with health issues and concerns prevalent in underserved communities of color\n Masters degree, or experiential equivalent, in Human Services, Public Health, Social Work, or a related area\n Proven knowledge of health-related community resources, including a clear understanding of health-related benefits and entitlements, as demonstrated by a minimum of 2 years of job-related experience\n Prior experience providing case management &/or medical focused care coordination services to individuals with chronic medical conditions is strongly preferred\n Bilingual Spanish speaking preferred\n Prior experience working with older adults preferred\n Strong oral and written communication skills, including the ability to effectively present information and respond to questions from internal/external sources\n Salary\n Commensurate with experience.\n Equal Opportunity Employer\n WSFSSH is committed to principles of Diversity, Inclusion & Equity. Individuals with life experiences as a person of color; being LGBTQIA+; having a disability; &/or having a family background which can contribute different views to the workplace – such as experiences of poverty or housing insecurity — are strongly encouraged to apply.\n WSFSSH is an Equal Employment Opportunity Employer (EEO); employment is based upon employees’ qualifications without discrimination on the basis of race, creed, color, national origin, religion, sex, age, disability, marital status, sexual orientation, military status, citizenship status, genetic predisposition or carrier status, or any other protected characteristic as established by law.",
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