LTSS Community Health Worker

Job Description

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 year12 Paid Holidays10 Sick Days per year3 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!

Founded in 1977, for 40 years Vinfen has been a leading nonprofit human services organization that "transforms lives" by building the capacity of individuals, families, organizations and communities to learn, thrive and achieve their goals. Vinfen supports thousands of adolescents and adults with psychiatric, developmental and behavioral disabilities at more than 200 sites with 2,800 employees in eastern Massachusetts and Connecticut.

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

Requirements

• High School Diploma required; Bachelor's Degree in Human Services or related field preferred
• Minimum of 1 year of case management experience; 2-3 years preferred
• Experienceworkingwith people living with disabilities with complex LTSS and BH needs.
• Strong organization and collaboration skills
• Experience working with people living with mental illness or substance use disorders. Preference given to bi-lingual/bi-cultural applicants and those with lived experience of psychiatric conditions.
• Experience working with a multi-disciplinary team
• All candidates for this position must be at least 21 years of age and be able to pass a CORI, reference, multi-state and driving record check. This position requries a fully insured vehicle that you will use in the course of your daily work.
• Preference given to bi-lingual/bi-cultural applicants and those with lived experience.

Driving Requirements

Drivers License check and vehicle access required