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Family Service Association - Fall River

Care Coordinator

Family Service Association - Fall River, Brockton, Massachusetts, United States, 02411

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Overview

We are hiring a full-time (40 hours/week) Care Coordinator in our Long-Term Services and Supports (LTSS) Community Partner (CP) program. This position is based in Brockton, with some travel. This is a Hybrid Position. The hourly rate ranges from $20.50-$24. Hours are Monday through Friday, 8:00 a.m. - 5:00 p.m. We are offering a $1,000 sign on bonus! The Care Coordinator is responsible for promoting coordination in the delivery and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care Organizations (MCO).

Responsibilities

Execute all required documents for participation in the CP program, including conducting a face-to-face Comprehensive Assessment for each Enrollee, completing the Care Plan, identifying any current providers, enrollee’s chosen Care Team and support system, preferences, goals, strengths, needs and cultural considerations. Complete updates to the Care Plan upon request of the Enrollee, as needed due to major changes.

Ensure Care Plan is approved by the Enrollee and shared with the Primary Care Provider. Act as facilitator for communication across all members of the Care Team. Provide Health and Wellness coaching. Maintain contact with enrollees on a monthly basis, with face-to-face visits being offered.

Help facilitate Enrollee’s access to needed services, advocate for and assist with navigating health inequities. Provide support for transitions of care. Conduct follow-up within 7 business days following any transition in care, including Emergency Department visits, and conduct a face-to-face visit with enrollees within 7 business days after acute or post-acute hospital discharge, in conjunction with the CP Team.

Maintain compliance with performance metrics, including MassHealth Quality Measures. Complete all documentation required for the delivery of LTSS Community Partners program services in a timely manner. Foster and maintain collaborative relationships with Primary Care Providers, specialists, ACO/MCO Care Managers, Social Service Organizations and representatives from state agencies. Attend regular supervisory meetings both on a team and individual basis, as required. Participate in person-centered planning training and other required trainings. Maintain cultural competency awareness and sensitivity. Hybrid position; reliable to work independently with some remote work during the work week.

Education & Experience

Experience Required:

Three years of experience in a related capacity required with High School/GED

1 year of relevant experience with an Associate's Degree

Bachelor's Degree

Social Work, Human Services, Nursing, Psychology, Sociology, or related field

Must have strong written and oral communication skills and demonstrated computer skills

Care Coordination experience and bilingual capacity in Spanish, Cape Verdean Creole, Haitian Creole, or Portuguese are desired.

Benefits

Medical, dental, vision insurance

Long term disability insurance

Life insurance

403b pension plan

Flexible spending account

Three weeks paid vacation

Twelve paid holidays

Generous earned sick time

Family Service Association is an Equal Opportunity Employer.

Additional information

Seniority level: Mid-Senior level

Employment type: Full-time

Job function: Other

Industries: Health and Human Services

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