Care Coordinator – LTSS Position Available In Hampshire, Massachusetts

Providing evidence-based care coordination and management, ICP care coordinators ensure that more people in our communities can benefit from all exceptional health services.

Job Expectations:

Collaborates with the Enrollee’s care team (registered nurse, PCP, PCA, medical director, behavioral health specialists, ACO’s, DMH, CBHI, CBHC, medical supply stores, social workers, etc.) Encourages Enrollee to follow treatment recommendations through support, health and wellness education, and advocacy. Links enrollees with resources and encourage them to use them to their advantage. Utilizes recovery strategies such as Motivational Interviewing, Harm Reduction and Strength Based approaches to support enrollees in attaining stated goals. Conducts visits in the home or in other locations in the community to provide guidance, support, education and coaching. Follow-up by telephone as necessary. Accompany/transport enrollees to medical/mental/behavioral health appointments as requested; facilitates effective navigation of the health care system LTSS Care Coordinators work with children ages 3 years old all the way up to adults who are 65 years old. Assists Enrollees in having an annual primary care visit. Completes Enrollee driven assessments, health screeners, Releases of Information and care plans annually. Complete daily activity notes in our electronic medical record. Ensures electronic medical record is up to date. Completes a face-to-face visit every 90 days. Ensures that Enrollee has an annual oral health evaluation. Participates in multi-disciplinary care team meetings. Ensures monthly contact with all enrollee’s on caseload. Attends care team meetings, supervisions, Team meetings, MVP meetings, staff meetings, trainings, and various other meetings in regards to health care management. Manage a large caseload Transports enrollees to connect with local community resources and to attend healthcare appointments.

Qualifications:

Must have a vehicle available for work purposes that is registered and insured Must have a valid and active driver’s license Bilingual and Bachelor Degree level applicants are encouraged to apply

Pay Range:

Starting at $21 to $23.25 Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.