SASH® for All CHW‐SASH Coordinator Job Description
Job Title: SASH for All SASH Coordinator
Reports To: Resident Services Coordinator
Location: Brattleboro, VT
Position Summary:
The primary function of the SASH ® (Support and Services at Home) for All SASH Coordinator, a Community Health Worker (CHW), is to build trusting relationships with participants in SASH for All in order to develop a thorough knowledge of each SASH participant’s strengths and challenges as they pertain to well‐being, health outcomes and resilience. The SASH Coordinator convenes the SASH team on‐site on a regular basis to coordinate care and services and partner with SASH participants.
General SASH Coordinator Duties
- Organizes informational meetings and materials for promoting and explaining the SASH for All pilot to residents and their family members/supports.
- Thoroughly explain the Use and Disclosure Agreement and related documents to residents and their family members/supports
- Responsible for following all policies and protocols established for SASH for All as found in training documents.
- Develops and maintains a regular Community Healthy Living Plan (CHLP) calendar of wellness activities and events for participants.
- Helps participants build support networks with other participants, friends, volunteers and family members.
- Adheres to confidentiality guidelines and appropriately documents information releases.
- Recruits, trains and supervises volunteers in the provision of activities and programs in the CHLP.
- Coordinate and attend field trips and outings.
- Establishes and maintains good working relationships, on‐going liaison with, and an in‐depth knowledge of the services available from community organizations including but not limited to the Community Action Agency, Parent Child Center, Family Services Division, Economic Services Division, Designated Mental Health Agency, etc.
- Participates in community outreach and marketing activities regarding SASH for All.
- Works independently and as part of the SASH team and the housing team to carry out job duties.
- Communicates in a positive and respectful manner with participants, community members, coworkers, volunteers, visitors, and family members.
Principal Responsibilities by Intervention Category:
Specific roles and responsibilities of the SASH Coordinator fall into three broad categories of interventions that the SASH model combines and provides for SASH participants in a holistic and person‐centered manner. These three intervention categories are life transitions support, self-management support and coordinated care.
Life Transitions Support
- Updates SASH team on participant or family transition status.
- Coordinates and plans for any needed and unmet services before, during and after a life transition.
- Communicates, if consented by participant, to off‐site facility staff to assist with transition to home
- logistics and access to services.
Self‐Management Support
- Develops the Community Healthy Living Plan (CHLP) in collaboration with the SASH team and revises the CHLP Action Plan every 6 months based on ongoing assessment of the needs and opportunities of the participant community.
- Identifies how best to offer CHLP services/programs for SASH participants (e.g., bring existing community‐based programs on‐site, assist participants to participate in off‐site programs, design new programs);
- Provides encouragement and “coaching” to help participants keep focused and motivated on proper
- self‐management of their chronic conditions and well‐being;
- As requested, or agreed to by participants, provides reminders and/or daily check‐ins to promote self‐management skills.
- Organizes and coordinates on‐site educational presentations on health and well‐being topics based on the collective needs of the SASH participant population as outlined in the CHLP.
- Coordinates and oversees volunteers (in collaboration with the Volunteer Coordinator if applicable) to support participants in meeting their HLP goals.
Coordinated Care Interventions:
- Arranges and schedules assessments of SASH participants to determine health and well‐being needs.
- Conducts person‐centered interviews with all SASH participants to understand their interests, needs, ideas, concerns and opinions
- Coordinates the development of Individual Healthy Living Plans (HLPs) in collaboration with the SASH team.
- Meets with SASH participants to discuss, gather input and finalize HLPs.
- Coordinates and assists SASH participants with individual support needs and goals as identified in the HLP.
- Acts as key contact person on site for information sharing regarding SASH participants among the SASH team, Wellness Nurse, Peer Support Advocate, family members and volunteers.
- Convenes SASH team meetings‐ sets agenda, leads meetings and keeps (or delegates) summary notes following a structured team meeting format.
- Contributes information in the progress notes section of the SASH participant’s Health & Wellness Record.
- Communicates regularly and deliberately with SASH participants one on one and in groups to ensure consistent follow‐up and information sharing among the SASH Coordinator, Wellness Nurse, Peer Support Advocate and SASH team and SASH participant
- In communities where a Personal Care Attendant (PCA) is contracted for on‐site services, provides introductions to SASH participants and functional supervision to PCA in collaboration with Wellness Nurse and contracting agency; files PCA reports in the nurse’s office.
SASH Standards of Conduct:
- Demonstrates a commitment to the mission and values of SASH and the employing agency.
- Demonstrates respectful and effective communication with co‐workers, participants, families and vendors.
- Protects the privacy and confidentiality of information related to participants, families, staff and general housing operations following HIPAA requirements.
- Communicates a positive image about SASH to the community.
- Adheres to all safety practices, rules and standards throughout the workday.
- Demonstrates a commitment to quality and proactively seeks to make improvements to systems and processes.
- Maintains a professional appearance that is appropriate for his/her position.
- Reports to work on time, provides advance notice for time off, completes timesheets accurately and appropriately manages CTO time.
- Demonstrates a commitment to integrity in work habits and use of SASH and employing agency resources.
- SASH’s mission and operations require that an employee be prepared to perform duties as assigned that may be outside his/her principal responsibilities.
WWHT’s Required Skills & Competencies
Mission Driven
- Passion for the mission and commitment to organization’s long-term success.
- Ability to balance tenant support with lease and organizational requirements.
- Commitment to understanding the organization’s vision, strategic directions, priorities and goals.
Customer Service
- Treats all as customers, provides exceptional internal and external customer service.
- Conflict resolution -De-escalates and handles challenging situations calmly and with grace.
- Maintains high standards for confidentiality.
- Assumes good intent; extends trust and gives people the benefit of the doubt.
Excellent Communication Skills
- Skillful and empathic listener; listens for understanding.
- Responds to emails and returns calls in a timely fashion.
- Strong written, verbal and interpersonal communication skills.
- Ability to build productive relationships with diverse populations, including vulnerable individuals and low-income households.
Personal Leadership
- Solution-oriented; positive, optimistic, confident; can-do attitude
- Exercises solid judgment and critical thinking.
- Flexible, willing to be hands-on and multitask in a fluid and fast-paced work environment
- Models’ professionalism, tact and discretion; maintains confidences
- Highly organized, finds most efficient and effective ways to work.
- Takes Responsibility and holds oneself accountable to one’s own success.
Technical Skills
- Strong computer skills, including proficiency in Word, PowerPoint, Excel, data mgt programs
- Committed to learning organizational standards, protocols, policies, and systems.
- Ability to work independently while collaborating effectively within a team environment.
- Efficient in entering and reporting data correctly into program platforms.
Minimum Qualifications:
Must possess a bachelor’s degree in social work or another human services field OR equivalent combination of background and experience. Previous experience coordinating services specifically for adults with children is preferred. Knowledge of area resources and programs available to adults with children (e.g., transportation, health services, recreational and wellness activities, workforce development, education) is strongly preferred. Demonstrated excellence in verbal and written communication is required. Must have knowledge of and an appreciation for the heritage, values, and wisdom of each participant. Must possess a valid driver’s license. A working knowledge of Microsoft Word, Access, Outlook and Publisher, and experience with computer software and statistical databases in general, are highly desirable.
Working Conditions and Physical Demands
- Must be able to lift/push up to 25 pounds.
- Must be accepting of health conditions and behavior of participants.
- Must be adaptable to working in an ever‐changing, high‐pressure work environment.
- Must be in good general health, demonstrate emotional stability and able to lead field trips for
participants.
Culture and Belonging:
WWHT is committed to creating an inclusive and welcoming environment where everyone feels valued and connected. This involves fostering a sense of belonging, promoting cultural diversity, and ensuring equal opportunities for all. WWHT expects all its staff to be receptive to learning and demonstrating skills and practices necessary for approaching and addressing issues through this lens.
