Talent.com
Care Coordinator
Care CoordinatorBrockton Area Multi-Servi • Brockton, MA, US
Care Coordinator

Care Coordinator

Brockton Area Multi-Servi • Brockton, MA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

Job Description

MCCN Care Coordinator

40hrs per week (Hybrid - Remote flexibility when not working in the field)

General Statement of Duties : The MCCN Care Coordinator will provide LTSS care coordination activities to youth and adult Enrollees of MCCN to facilitate the appropriate delivery of health care services and improve health outcomes. Such activities may include organizing care and facilitating communication across medical, behavioral health, LTSS, social, and pharmacy providers, agencies, and supports.

This position requires regular travel within the Southeast Region . Efforts will be made to contain travel within 1 hour of the Brockton office or the applicant’s home, but occasional travel outside 1 hour radius may occur.

Responsibilities :

  • Work collaboratively and effectively with care management, including Assigned or Engaged Enrollee, medical team and other providers to provide LTSS care management services.
  • Work collaboratively with the care team to complete and utilize the Comprehensive Assessment results, and work with Assigned or Engaged Enrollee to develop or update the LTSS Person Centered Treatment Plan within 122 days of assignment.
  • Ensure that the LTSS Person Centered Treatment Plan meets the requirements of EOHHS and notify the care team if changes have occurred to Assigned or Engaged Enrollee’s functional status, including Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) needs, since the completion of the Comprehensive Assessment.
  • Ensure the Assigned or Engaged Enrollee receives necessary assistance and accommodations to prepare for, fully participate in, and to the extent preferred, direct the care planning process.
  • Ensure that the Assigned or Engaged Enrollee receives assistance in understanding LTSS terms and LTSS concepts, including but not limited to information on their functional status; how family members, social supports and other individuals of their choosing can be involved in the care planning process; self-directed care options and assistance available to self-direct care; and LTSS services or programs that are available to meet their needs and for which they are potentially eligible.
  • Inform the Assigned or Engaged Enrollee about his or her options for specific LTSS services and programs and providers that may meet their needs.
  • Assess the Assigned or Engaged Enrollee for social services and identify community and social services and resources that may support the health and wellbeing of the Assigned or Engaged Enrollee.
  • Conduct assessment for Flexible Services for all Assigned or Engaged Enrollees who are enrolled in an ACO. If Flexible Services are identified, make recommendation to ACO for approval.
  • Coordinate all aspects of service delivery and promote integration with health care providers, BH providers, LTSS providers and community / social service provides that the Assigned or Engaged Enrollee may be receiving, as outlined in the LTSS Person Centered Treatment Plan.

Participate in Enrollee’s care team meetings to ensure effective communication among all disciplines 
involved in individual’s care.

  • Provide health and wellness coaching as directed by the Engaged Enrollee’s care team and as indicated in the Enrollee’s LTSS Person Centered Treatment Plan.
  • Maintain regular contact with Assigned or Engaged Enrollee to monitor and coordinate LTSS Person Centered Treatment Plan including quarterly face-to-face meetings.
  • Care Coordination activities include visiting locations in which the Enrollee is known to reside or visit; Conducting face-to-face home visits with the Enrollee on an initial and quarterly basis; complete in person follow up after discharge visit within 7 days following an Enrollee’s inpatient discharge, discharge from twenty-four (24) hour diversionary setting, or transition to a community setting.
  • Support transitions of care by completing a follow up within seven (7) calendar days following an Enrollee’s emergency department (ED) discharge. Coordinates clinical services and other supports for the Enrollee, as needed
  • Contacting the Enrollee’s providers and collaterals to ensure accurate contact information when Assigned or Engaged Enrollees become unreachable.
  • Qualifications :

  • BA in social work, human services, nursing, psychology, sociology, or related field from an accredited college / university OR an Associate’s degree and at least one year professional experience in the field OR at least three years of relevant professional experience.
  • Experience working with individuals with complex LTSS needs and credentialed as a community health worker, health outreach worker, peer specialist, or recovery coach desired. Care Coordination and Behavioral Health experience preferred.
  • Experience in navigating individual and family service systems and demonstrated the capacity to work collaboratively and effectively with families and community-based colleagues.
  • Ability to use Electronic Health Records (EHR) Systems to document and coordinate services.
  • Must be able to perform each essential duty satisfactorily.
  • Strong interpersonal skills in terms of developing a working relationship with a variety of individuals in a variety of context. Ability to communicate effectively verbally and in writing.
  • Strong organization skills with Attention to detail, multi-tasking skills, Prioritization skills, Analytical skills, Problem-solving skills, and Team skills.
  • Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations.
  • Commitment to MCCN values and mission.
  • Ability to travel on a regular basis; Must have valid driver’s license and access to an automobile.
  • Ability to read and speak English. Fluency in other languages, including Spanish, Cape Verdean Creole, Haitian Creole preferred.
  • Strongly preferred experience in Microsoft Products and software i.e., Teams, Excel, Word, Outlook, etc.
  • Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies.
  • Knowledge regarding psychiatric rehab and understanding of recovery model.
  • Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations.
  • Must be able to perform each essential duty satisfactorily.
  • Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport members.
  • Must have ability to read English and communicate effectively in the primary language of the program to which he / she is assigned.
  • EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

    We at BAMSI appreciate your interest and consideration of roles in our organization. BAMSI is an equal opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, ancestry, national origin, sex, sexual orientation, gender identify, age, marital status, family responsibilities, pregnancy, genetic information, protected veteran or military status and regardless of whether the qualified applicants are individuals with disabilities. EEO is the Law http : / / www1.eeoc.gov / employers / poster.cfm Reasonable Accommodations for Applying / Recruitment Reasonable accommodations are adjustments made to remove workplace obstacles for qualified individuals with disabilities to apply for and perform their jobs. Applicants who qualify under the Americans with Disabilities Act, as amended, may be eligible for a reasonable accommodation in BAMSI’s application and selection process. A request for an accommodation will not affect opportunities for employment within BAMSI. Arrangements can be made if you have a disability that requires an accommodation for completing an application form, interviewing or any part of the employment process. Requesting accommodations, in writing or verbally, can be initiated by a BAMSI employee, qualified applicant, or by someone acting on that person’s behalf. Either call 508-484-7171 or, send letter to Talent Acquisition, 15 Christy's Dr Brockton, MA 02301. Note : please do not use these contacts to follow-up on job inquiries.

    serp_jobs.job_alerts.create_a_job

    Care Coordinator • Brockton, MA, US

    Job_description.internal_linking.related_jobs
    Care Coordinator - Signing Bonus up tp $2,500.00

    Care Coordinator - Signing Bonus up tp $2,500.00

    SSTAR • Fall River, MA, US
    serp_jobs.job_card.full_time
    Enrollees to facilitate the appropriate delivery of health care services and improve health outcomes, including but not limited to organizing care and facilitating communication across medical, beh...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Care Coordinator I

    Patient Care Coordinator I

    Boston Orthotics & Prosthetics • South Weymouth, MA, US
    serp_jobs.job_card.full_time
    OrthoPediatrics Specialty Bracing : .As a leader in specialized pediatric orthotics, we take great pride in having the industry's top clinicians, technicians, and administrative staff, led by an ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Patient Care Coordinator-Glaucoma

    Patient Care Coordinator-Glaucoma

    Ophthalmic Consultants of Boston • Plymouth, MA, US
    serp_jobs.job_card.full_time
    Ophthalmic Consultants of Boston (OCB) is currently seeking a Patient Care Coordinator to join our Glaucoma team.This is a full time opportunity Monday through Friday. This position does allow for 2...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Intensive Care Coordinator | New Bedford

    Intensive Care Coordinator | New Bedford

    Gandara Mental Health Center, Inc. • New Bedford, MA, US
    serp_jobs.job_card.full_time
    Explore the career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clinical services, Adolescent and Family services, Adult Residential, Maintenance and Administration! W...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Care Coordinator

    Patient Care Coordinator

    Professional Physical Therapy • Medford, MA, US
    serp_jobs.job_card.full_time
    Professional PT, a leading provider of physical, occupational, and hand therapy in the Northeast, is seeking a dedicated and compassionate individual to join our team as a Patient Care Coordinator....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Long Term Support Services Coordinator One Care

    Long Term Support Services Coordinator One Care

    Central Boston Elder Services Inc • Roxbury, MA, US
    serp_jobs.job_card.full_time
    The Long-Term Support Services Coordinator (LTSSC) is the Care Manager assigned to work with One Care Plan enrollees and is a Primary Care Team (PCT) member. The LTSSC is responsible for coordinatin...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Part-Time Patient Care Coordinator

    Part-Time Patient Care Coordinator

    Professional Physical Therapy • Waltham, MA, US
    serp_jobs.job_card.part_time
    Professional PT, a leading provider of physical, occupational, and hand therapy in the Northeast, is seeking a dedicated and compassionate individual to join our team as a Patient Care Coordinator....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Care Coordinator

    Patient Care Coordinator

    TradeJobsWorkForce • 02474 Arlington, MA, US
    serp_jobs.job_card.full_time
    Patient Care Coordinator : Understands automobiles by studying characteristics, capabilities...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Care Coordinator

    Care Coordinator

    Family Service Association - Fall River • Brockton, MA, US
    serp_jobs.job_card.full_time
    We are offering a $1,000 sign on bonus!.We are looking to hire a full time (40 hours / week) Care Coordinator in our Long-Term Services and Supports (LTSS) Community Partner (CP) program.Th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Home Care Scheduling Coordinator

    Home Care Scheduling Coordinator

    Guardian Angel Senior Services • Malden, MA, US
    serp_jobs.job_card.full_time
    Guardian Angel Senior Services Scheduling Coordinator.Founded in 2003, Guardian Angel Senior Services was created from a dream that we could make a difference in the lives of seniors and go above a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Care Coordinator

    Patient Care Coordinator

    HIGHBAR • Seekonk, MA, US
    serp_jobs.job_card.full_time
    Highbar Physical Therapy is Hiring! Highbar is a leading outpatient physical therapy practice experiencing significant growth with locations across New England. We've evolved our name to reflect the...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Care Coordinator - Family-Based Intensive Treatment

    Care Coordinator - Family-Based Intensive Treatment

    Childrens Services Of Roxbury • Roxbury, MA, US
    serp_jobs.job_card.full_time
    The FIT Care Coordinator provides intensive, community-based behavioral health support to children and youth (under 21) with Serious Emotional Disturbance (SED) and their families.Working closely w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Care Coordinator

    Care Coordinator

    Newport County Community Mental Health Center • Middletown, RI, US
    serp_jobs.job_card.full_time
    Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Home Care Scheduling Coordinator - Cambridge

    Home Care Scheduling Coordinator - Cambridge

    Guardian Angel Senior Services • Cambridge, MA, US
    serp_jobs.job_card.full_time
    Guardian Angel Senior Services.Founded in 2003, Guardian Angel Senior Services was created from a dream that we could make a difference in the lives of seniors and go above and beyond the call of d...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Patient Care Coordinator (Financial District)

    Patient Care Coordinator (Financial District)

    Professional Physical Therapy • Boston, MA, US
    serp_jobs.job_card.full_time
    Professional PT, a leading provider of physical, occupational, and hand therapy in the Northeast, is seeking a dedicated and compassionate individual to join our team as a Patient Care Coordinator....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Care Coordinator

    Patient Care Coordinator

    Highbar Physical Therapy • Pembroke, MA, US
    serp_jobs.job_card.full_time
    Join Peak Physical Therapy, a Highbar Practice!.Help us revolutionize the Physical Therapy industry! Peak Physical Therapy & Sports Performance is proudly affiliated with Highbar Physical Thera...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Care Coordinator

    Care Coordinator

    Lynn Community Health Center • Lynn, MA, US
    serp_jobs.job_card.full_time
    CARE COORDINATOR - Lynn Community Health Center.Please note that this position is the help Sunflower and Orange Team now known as Marigold). Are you interested in playing a part of the of coordinati...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Patient Care Coordinator

    Patient Care Coordinator

    Grassi • Quincy, Massachusetts, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Nielsen Eye Center – Quincy, Norwell, Norwood, and Weymouth, MA.The Nielsen Eye Center is dedicated to providing our patients with the most advanced technology and the most experienced LASIK and Ca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Intensive Care Coordinator | Boston

    Intensive Care Coordinator | Boston

    Gandara Mental Health Center, Inc. • East Boston, MA, US
    serp_jobs.job_card.full_time
    Explore the career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clinical services, Adolescent and Family services, Adult Residential, Maintenance and Administration! W...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Customer Care Coordinator

    Customer Care Coordinator

    Numotion • Taunton, MA, US
    serp_jobs.job_card.full_time
    By joining Numotion, you will be a part of the nation's leading provider of Complex Rehabilitation Technology.Numotion is helping thousands of people with individually configured, medically necessa...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted