Care Coordinator

1 week ago

Brockton, Massachusetts, United States Brockton Area Multi-Servi Full time
About the Role

We are seeking a highly skilled and compassionate Care Coordinator to join our team at Brockton Area Multi-Services, Inc. (BAMSI). As a Care Coordinator, you will play a vital role in providing LTSS care coordination activities to youth and adult Enrollees of MCCN, facilitating the appropriate delivery of health care services and improving health outcomes.

Key Responsibilities
  • Collaborate with Care Management Teams: Work collaboratively and effectively with care management, including Assigned or Engaged Enrollee, medical team, and other providers to provide LTSS care management services.
  • Develop and Implement Care Plans: 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 Care Plan Compliance: 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.
  • Provide Support and Resources: 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.
  • Assess and Coordinate Services: 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.
  • Coordinate Service Delivery: Coordinate all aspects of service delivery and promote integration with health care providers, BH providers, LTSS providers, and community/social service providers that the Assigned or Engaged Enrollee may be receiving.
  • Participate in Care Team Meetings: Participate in Enrollee's care team meetings to ensure effective communication among all disciplines involved in individual's care.
  • Provide Health and Wellness Coaching: 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.
  • Monitor and Coordinate Care: Maintain regular contact with Assigned or Engaged Enrollee to monitor and coordinate LTSS Person Centered Treatment Plan.
  • Support Transitions of Care: 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.
  • Ensure Accurate Contact Information: Contacting the Enrollee's providers and collaterals to ensure accurate contact information when Assigned or Engaged Enrollees become unreachable.
Requirements
  • Education and Experience: 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.
  • Desirable Qualifications: 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.
  • Skills and Abilities: Ability to use Electronic Health Records (EHR) Systems to document and coordinate services. 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.
  • Preferred Qualifications: Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations. Commitment to BAMSI 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.
About BAMSI

BAMSI is a 501(c) 3 nonprofit organization dedicated to driving change and creating equal opportunities for individuals with developmental disabilities and mental and behavioral health challenges.

Benefits
  • Generous Time Off Package
  • Highly Specialized Paid Trainings
  • Health and Dental Insurance
  • Life, Short Term and Long Term Disability Insurance
  • 403B plan with discretionary match
  • Wellness Activities
  • Employee Assistance Program
  • Career Development Opportunities
Work Schedule

40 hours per week - Hybrid

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