Job Openings

LTSS Care Coordinator

Job ID: BH328982

Category: Medical Assistant, Other Area(s)

Specialty: Other

The role of the Long Term Supports and Services Care Coordinator is to provide outreach, LTSS care planning, care team participation, LTSS coordination, support transitions of care, provide health and wellness coaching and connect a group of local Allied Partners members with social services and community resources. The LTSS Care Coordinator will follow defined timelines in order to meet the MassHealth requirements for billable activities. The Coordinator is responsible for documentation in the electronic platform and complying with all data entry, data integrity, and data tracking requirements. This position will be based in the Pediatrics Clinic and will work directly with the Family Navigation Program Manage and BAP Program Manager.

Essential Functions:

  • Contact and inform Assigned Enrollees of the option to receive LTSS Community Partner supports. The majority of Assigned Enrollees will be ages 3-21.
  • Under the direction of the Assigned Enrollee, develop a LTSS Care Plan for Assigned Enrollees that agree to participate in the LTSS CP program.
  • Ensure that the Enrollee receives necessary assistance and accommodations to prepare for, fully participate in, and to the extent preferred, direct the care planning process and that the Enrollee receives assistance in understanding LTSS terms and LTSS concepts.
  • Develop a person-centered care plan that encompasses numerous items such as MassHealth State Plan LTSS service(s) or program(s) recommended by the CP Care Coordinator and desired by the Enrollee, other  recommended LTSS desired by the Enrollee.
  • Connect Enrollee to social services and community resources, identify and recommend services to develop health and wellness goals.
  • Coordinate and collaborate with other case management entities and community resources.
  • Provide health and wellness coaching; work with Enrollees to develop health and wellness goals.

Must Haves (at least 1 out of the first 3):

  • Bachelor’s degree in social work, human services, nursing, psychology, sociology, or related field;
  • or Associate’s degree and at least one year professional experience in the field;
  • or at least three years of relevant professional experience.
  • Ability to visit consumers in the environment in which they reside such as the individual’s home, apartment, shelter, group home etc. (Home visits are temporarily halted due to MassHealth’s COVID-19 precautions and will resume in the near future.)

Preferred:

  • Bi-lingual candidates preferred.
  • Previous experience working with the pediatric patients and their families.
  • Clinical or case management experience preferred.
Requirements:

The role of the Long Term Supports and Services Care Coordinator is to provide outreach, LTSS care planning, care team participation, LTSS coordination, support transitions of care, provide health and wellness coaching and connect a group of local Allied Partners members with social services and community resources. The LTSS Care Coordinator will follow defined timelines in order to meet the MassHealth requirements for billable activities. The Coordinator is responsible for documentation in the electronic platform and complying with all data entry, data integrity, and data tracking requirements. This position will be based in the Pediatrics Clinic and will work directly with the Family Navigation Program Manage and BAP Program Manager.

Essential Functions:

  • Contact and inform Assigned Enrollees of the option to receive LTSS Community Partner supports. The majority of Assigned Enrollees will be ages 3-21.
  • Under the direction of the Assigned Enrollee, develop a LTSS Care Plan for Assigned Enrollees that agree to participate in the LTSS CP program.
  • Ensure that the Enrollee receives necessary assistance and accommodations to prepare for, fully participate in, and to the extent preferred, direct the care planning process and that the Enrollee receives assistance in understanding LTSS terms and LTSS concepts.
  • Develop a person-centered care plan that encompasses numerous items such as MassHealth State Plan LTSS service(s) or program(s) recommended by the CP Care Coordinator and desired by the Enrollee, other  recommended LTSS desired by the Enrollee.
  • Connect Enrollee to social services and community resources, identify and recommend services to develop health and wellness goals.
  • Coordinate and collaborate with other case management entities and community resources.
  • Provide health and wellness coaching; work with Enrollees to develop health and wellness goals.

Must Haves (at least 1 out of the first 4):

  • LICSW or LCSW;
  • or Bachelor’s degree in social work, human services, nursing, psychology, sociology, or related field;
  • or Associate’s degree and at least one year professional experience in the field;
  • or at least three years of relevant professional experience.
  • Ability to visit consumers in the environment in which they reside such as the individual’s home, apartment, shelter, group home etc. (Home visits are temporarily halted due to MassHealth’s COVID-19 precautions and will resume in the near future.)

Preferred:

  • Bi-lingual candidates preferred.
  • Previous experience working with the pediatric patients and their families.
  • Clinical or case management experience preferred.

The Planet Group of Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Type: Temp/Contract

Location: Remote Based