Demo

Care Coordinator - LTSS

CHD Brand
West Springfield, MA Full Time
POSTED ON 4/1/2025
AVAILABLE BEFORE 5/1/2025

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

Salary : $21 - $23

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