Bilingual Care Coordinator

Care Coordinator (Spanish/English) Job Summary: Hours: Monday - Friday, 8:30 - 5:00 pm (Hybrid/Remote Schedule). Initially, this position will cover a current staff member?s leave and then transition to a permanent position. In keeping with our mission, we are seeking talented and compassionate Care Coordinators (Case Managers) to work with our team of exceptional, multidisciplinary to practice and maintain high quality standards of patient care. You will find challenging and satisfying work alongside colleagues who share your drive and your compassion. In this role there is a hybrid remote/in office work possibility. In your daily practice, you will be based in the community and serve as a vital link connecting homeless individuals with serious mental illness, substance use disorders, and/or complex medical illnesses with needed care including mental health, substance use, and primary care as well as services that address social determinants of health needs. This work is a part of a new MassHealth initiative that provides qualified MassHealth enrollees with a service benefit called Behavioral Health Community Partners. As the BH-CP Care Coordinator, you will work as part of an interdisciplinary BH-CP team and take responsibility for coordinating the care for up to 50 enrollees. You will work closely with other team members and will be responsible for the engaging their enrollees regularly (several times a month), mostly face to face, and making sure that the enrollee is getting connected to vital services and progressing towards the goals outlined in their Person-Centered Care Plan. Initially, this position will cover a current staff member?s leave and then transition to a permanent position. Responsibilities: Communicates and engages with enrollees regularly and helps enrollee progress on goals identified in Patient Centered Care Plan Work with the nurse care managers, conduct timely Comprehensive Assessments Document into data platform regarding enrollee progress on Care Plan goals, all enrollee encounters, care coordination notes. All patients on panel require at least once/month contact and documentation Assist nurse care managers and BH CP teams with arranging enrollee appointments for services needed and other related assessments; accompanies enrollees to appointments as needed Triage and troubleshoot care need issues for enrollees; works with nurse care managers to address needs Participate in team case conferences and advocate for enrollees? needs Participate in BH CP training and learning collaboratives Remind enrollees about keeping appointments, filling prescriptions, etc. Work with BH CP team on dev & implementation of Patient Centered Care Plan Request & send medical records to for care coordination purposes to providers, ACO, MCO as needed Be flexible and able to multi-task Qualifications and Skills: A Bachelor?s degree in social work, human services, nursing, psychology, sociology, or related field; or an Associate?s degree and at least one year professional experience in the field; or at least three years of relevant professional experience Excellent customer service skills and the ability to communicate professionally with employees and enrollees both on the phone and in person Efficient, organized, detail oriented, and able to complete tasks in time sensitive manner Self-directed with the ability to work both independently and as part of a team and interested in using data to help direct care Motivational Interviewing and Cultural Competency training a plus; experience working with homeless populations and/or populations with mental illness and substance use disorders Experience in case management or human services is preferred but not required Computer skills: Proficient with Microsoft Excel Spreadsheets, entering narrative and other data into a database, the u e of the

Created: 2024-10-19