Community Care Coordinator

3 weeks ago

Lowell, United States i4 Search Group Full time
Job DescriptionJob Description

Community Care Coordinator job opportunity in Lowell, MA.

Hybrid training and schedule
$1,000 SOB paid at month 3 and 6
Mileage reimbursement
Benefits start DAY ONE

Working with 3-64 year old consumers with disabilities.

The NRLP will manage the plan of care that is set in place for the consumers. The coordinator will work along side the RN, SW, and other team members to tweak or change the plan of care based on the status of the consumer. The goal is for the consumer to no longer need the program provided, and be able to function in the home as needed.

Some consumers are with the program for months to years, it all depends. Some come back to the program also.

Wednesday and Friday work in the office.

*Bilingual in Spanish preferred

*Must be willing to follow the Covid-19 and other vaccination policies.

Reports to: NRLP Senior Clinical Care Lead

Summary:

The LTSS CPC is responsible for providing comprehensive and enhanced person-driven supports to enrollees, ages 3 to 64, that are participating in the Commonwealth's Long-Term Services and Supports Community Partnership program. The LTSS CPCs will also facilitate enrollee use of assistive technology, sustain enrollee engagement, and encourage problem solving, manage data and supporting outcomes evaluations. Must have reliable transportation and valid driver’s license for community outreach and home visits

Qualifications:

· A Bachelor degree in human services or a related field or

· An Associate degree and at least one-year professional experience in the field; CHW or similar certification

· Previous experience working with persons with disabilities a plus (children and adults)

· Previous experience and interest working with the Pediatric population preferred.

· Ability to make proper judgments, assessments, superior written and verbal skills, and ability to maintain effective interpersonal relationships with staff members, consumers, and partners

· Proficient in the use of computer systems, including but not limited to, Windows based software applications such as Word, Excel, and Outlook

· Must have reliable transportation and valid driver’s license for community outreach and home visits

· Ability to process information accurately

· Ability to work both independently and as part of a team

· Professional demeanor and ability to handle confidential materials with discretion

· Bilingual Spanish required

· Must follow the COVID 19 and other vaccination policies of the entities in which they may be sited

Standards and Responsibilities:

· Review information about the LTSS program to enrollee, including a description of the role of the LTSS CPC and the enrollment process

· Ensure care plan uniquely represents enrollee, including a cohesive overview of the enrollee's strengths and challenges, interests and goals, and the accommodations provided to support enrollee decision-making

· Provide informed choice to enrollee when identifying different LTSS services and community resource options

· Update care plan regularly to reflect progress towards goals or to indicate changes in status

Provide ongoing LTSS care coordination to enrollees

· Maintain regular contact with the enrollee that will include a face-to-face meeting in the enrollee's home environment unless the enrollee indicates another preference at least once every three months with consistent phone connections between meetings

· Monitor the enrollee's health, functional, and social status

· Support the enrollee's engagement using techniques such as motivational listening and similar readiness for change approaches and promote self-empowerment of persons with disabilities who have complex health care needs

· Facilitate communication between the enrollee, ACO/MCO and all relevant LTSS, social service, and community resource providers

· Promote and facilitate the integration of the enrollee's care across physical, behavioral, and LTSS areas, as well as social services and flexible services as applicable

· Facilitate the provision of appropriate community LTSS and resources

· Support and advocate for person centered care planning and provision of LTSS in ways that promote independent living

· Protect the rights of enrollees with disabilities who may experience disparities in healthcare access and outcomes due to routine discrimination by the medical system

· Support enrollee's transitions of care

· Provide health and wellness coaching to the enrollee as directed by the enrollee's care team and as indicated in the enrollee's ACO or MCO care plan

Company DescriptionLooking for a dedicated Community Care Coordinator to join our team

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