Cambridge, MA, USA
35 days ago
LTSS Community Health Worker
Schedule: Mon-Fri 9am-5pm   Salary: $50,000 / year   The Care Coordinator for the Community Partner program provides care coordination and connection to social services and community resources for adults with disabilities and/or complex medical needs. The Care Coordinator works as part of a Vinfen Long Term Services and Supports (LTSS) Community Partner team. The Care Coordinator will conduct outreach, perform social needs assessments, coordinate telephonically with other providers and support enrollees in achieving their health and wellness goals. The Care Coordinator will have the opportunity to learn about community resources, LTSS, how to conduct an assessment and develop a care plan and provide wellness coaching. The position is based in Jamaica Plain (Boston). The Care Coordinator must be willing to visit enrollees in their homes throughout Greater Boston as well as work from our office.   The Care Coordinator will also: Outreach to and engage people referred to the Community Partner program. Serve as primary point of contact for the enrollee in care planning and coordination. Assess the enrollee's needs for social services and other home- and community- based services using an assessment tool. Identify community and social services to support health and wellbeing of the enrollee and inform them of their options of services and providers. Coordinate the development, implementation, and ongoing review of the care plan. Work in partnership with enrollee and other providers to develop and implement care plan. Update the care plan annually to reflect changing needs. Provide self-management education and training while honoring enrollee choices. Make referrals to any community or social services that align with the enrollees' needs and goals. * Collaborate and communicate with the enrollee's other medical, behavioral health providers regarding changes in services, hospitalizations, and other care plan goals Obtain required Prior Authorization from Managed Care Plan for relevant/necessary services.  Document all care coordination activities in electronic care coordination system. Support enrollee during transitions of care such as in the hospital discharge planning process. Perform other related duties, as required.

Why Vinfen? We're committed to you!

Our comprehensive and generous benefits package includes:

A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan First-rate Medical, Dental and Vision plans that are open all employees scheduled to work 30 hours per week or more. Plus, we offer a generous employer contribution toward the cost of medical insurance! Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance (no cost to you!) Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance Flexible Spending Reimbursement Accounts (Health and Dependent care) Voluntary Term, Whole Life, Accident and Critical Care Insurance Generous paid time off (Employees scheduled to work 20 hours or more per week): 15 days of Vacation per year 12 Paid Holidays 10 Sick Days per year 3 Personal Days per year Educational Assistance and Remission Programs $500 Employee Referral Bonus with no annual cap! Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more!

About Us

Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,200 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in 318 programs throughout Massachusetts and Connecticut. For more information about Vinfen, please visit www.vinfen.org/careers

My Vinfen. My Community. My Job.

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Care coordinator, Patient Navigator, Community Health Advocate, Health Coach, Care Partner, Health equity, Social determinants of health

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