Care Coordinator

Who We Are:

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens.

From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Job Summary:  

Hours: Full-time; Monday – Friday, 8:30am – 5:00pm (Hybrid remote/in person)

Union: Yes  

Union Name: 1199 SEIU

Patient Facing: Yes

In keeping with our mission, we are seeking talented and compassionate Care Coordinators (Case Managers) to work with our team of exceptional, multidisciplinary to practice and maintain high quality standards of patient care. You will find challenging and satisfying work alongside colleagues who share your drive and your compassion. In this role there is a hybrid remote/in office work possibility.

In your daily practice, you will be based in the community and serve as a vital link connecting homeless individuals with serious mental illness, substance use disorders, and/or complex medical illnesses with needed care including mental health, substance use, and primary care as well as services that address social determinants of health needs. This work is a part of a MassHealth initiative that provides qualified MassHealth enrollees with a service benefit called Behavioral Health Community Partners.

As the BH-CP Care Coordinator, you will work as part of an interdisciplinary BH-CP team and take responsibility for coordinating the care for 50 enrollees.  You will work closely with other care team members and will be responsible for engaging their enrollees regularly (several times a month) and making sure that the enrollee is getting connected to vital services and progressing towards the goals outlined in their Person-Centered Care Plan.

Responsibilities:

• Communicate and engage with enrollees regularly and help enrollee progress on goals identified in Patient Centered Care Plan.

• Work with the nurse care managers and conduct timely Comprehensive Assessments.

• Document into data platform regarding enrollee progress on Care Plan goals, all enrollee encounters, and care coordination notes. All patients on panel require at least once/month contact and documentation.

• Assist nurse care managers and BH CP teams with arranging enrollee appointments for services needed and other related assessments; accompanies enrollees to appointments as needed.

• Triage and troubleshoot care need issues for enrollees; works with nurse care managers to address needs.

• Participate in team case conferences and advocate for enrollees’ needs; remind enrollees about keeping appointments, filling prescriptions, etc.

• Participate in BH CP training, learning collaboratives and work with BH CP team on dev & implementation of Patient Centered Care Plan.

• Request and send medical records for care coordination purposes to providers, ACO, MCO as needed.

Qualifications and Skills:

• A bachelor’s degree in social work, human services, or related field; or an associate degree and at least one-year professional experience in the field; or at least three years of relevant professional experience.

• Excellent customer service skills and the ability to communicate professionally with employees and enrollees both on the phone and in person.

• Efficient, organized, detail oriented, and able to complete tasks in a time sensitive manner.

• Self-directed with the ability to work both independently and as part of a team and interested in using data to help direct care.

• Motivational Interviewing and Cultural Competency training a plus; experience working with homeless populations and/or populations with mental illness and substance use disorders.

• Experience in case management or human services is preferred but not required.

• Computer skills: Proficient with Microsoft Excel Spreadsheets, entering narrative and other data into a database, the use of the Internet to conduct information searches.

• Must be flexible and able to multi-task.

Compensation and Benefits:

• The compensation is based on years of experience and ranges from $22.07 - $35.31 hourly.

• BHCHP full time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees.

Does this amazing opportunity interest you? Then we'd love to hear from you.

As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law.

Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

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