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Family Service Association is a comprehensive private, non-profit social service agency dedicated to the development and implementation of services designed to provide strength and support to individuals and families throughout southeastern Massachusetts. Headquartered in Fall River, Family Service Association strives to increase the capacity of individuals and families to cope with the stresses of family life and interpersonal relationships in a positive, productive and health-improving manner. This agency is a leading provider of professional social services in the South Coast region of Massachusetts, with a 130-year tradition of high quality.
The Long Term Services and Supports (LTSS) Community Health Worker (CHW) is responsible for providing support to the LTSS Care Coordinator to promote coordination in the delivery and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care Organizations (MCO).
Duties and Responsibilities:
1. Conduct outreach to assigned enrollees to inform about the functions of a Community Partner (CP) Care Coordinator,
2. Document all outreach attempts
3. Schedule face-to-face meeting for enrollees with LTSS Care Coordinator.
4. Prepare encounter packets with informational materials and all documents needed for enrollee engagement.
5. Gather and maintain resource and reference materials for area providers of LTSS and other community services, including contact information and service availability in support of facilitating enrollee access to services.
6. Support Care Coordinator's participation as a member of the enrollee's care team, gathering required information related to the enrollee's needs, preferences and service options; facilitating communication with other providers and promoting integration of care across all providers.
7. Maintain regular contact with the enrollee under the direction of the Care Coordinator.
8. Provide ongoing monitoring of the implementation of the LTSS Care Plan and monitoring for changes in status including health, housing, natural supports and caregivers under the direction of the Care Coordinator.
9. Gather materials, curriculum and current resources in support of health and wellness coaching for enrollees regarding symptom management, health risk factors and behaviors, health promotion and setting and achieving health and wellness goals.
10. Maintain all documentation required for the delivery of LTSS CP services.
11. Foster and maintain collaborative relationships with PCPs, Social Service Providers and representatives from state agencies.
Education and Experience:
Must have a minimum of a High School Diploma and three years' experience in a related capacity.
Must have strong written and oral communication skills and demonstrated proficient computer skills.
Based on client need, bi-lingual English/Spanish speaking is required.
The hours are Monday through Friday, 9:00 a.m. - 5:00 p.m.
This is a benefits eligible position. Benefits include, medical, dental and vision insurance, short term, long term and life insurance, 403(b) and flexible spending account.
To apply, please visit our website at www.frfsa.org to complete the online application and to learn more about our programs and services.
Vacancy expired!