Dementia Care Specialist- GUIDE Dementia Support Program- Days

About the role

The GUIDE model focuses on comprehensive, coordinated dementia care and aims to improve quality of life for people with dementia, reduce strain on their unpaid caregivers, and enable people with dementia to remain in their homes and communities. The Dementia Practitioner works with an experienced dementia care team on the CMS GUIDE project.

Responsibilities

• Completes comprehensive assessments and implements a variety of services, including care planning for the beneficiary with dementia and caregivers, community-based and home visit assessments, creates care plans focused on achieving goals, and works with the patient’s provider care team to guide care and transitional care across the care continuum.
• Is the primary point of contact for patients and their caregivers for dementia intervention services.
• Provides Alzheimer’s and other dementia disease-related training, data collection, data entry, community/client management, presentations, referral care, screening, monitoring, care coaching, emotional/social support, and data entry record keeping.
• Identifies patients with dementia, caregivers and receives referrals from multiple clinics throughout the VCU Health system and beyond the health system.
• Implements the VCUHS GUIDE Program which consists of training/implementing health coaching, health education, dementia care counseling, care ecosystem, REACH Caregiver, and GUIDE screening tools in EMR.
• Provides dementia patient and caregiver case management.
• Conducts GUIDE presentations and outreach work to the community.
• Performs client screening, triage, referral care, and monitoring.
• Recruits to VCUHS GUIDE Program.
• Participates in event planning for the VCUHS GUIDE Program (Community Awareness).
• Conducts evaluation and assessment of GUIDE Program.
• Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and department.

Qualifications

• Required Education: Bachelor’s Degree in a Human Services field or 2-3 years of Community Health Worker care coordination experience. Master’s Degree from an accredited college or university in gerontology, nursing, or social services preferred.
• Licensure/Certification: Required to complete training to receive a Certified Dementia Practitioner certification and a minimum of 10 hours of dementia care coordination training and certifications. Certification in Health Coaching, Health Education, and Dementia Care preferred.
• Years and Type of Required Experience: Minimum of two (2) years of Gerontological and intervention delivery work or experience in an administrative/coordinator human services role. Experience in Alzheimer’s disease, or Health Coaching, and Electronic Medical Records (EMR) is preferred.