POSITION SUMMARY:
The Bilingual Care Manager will interview elders (in their native tongue) for home care services to determine eligibility in a home, hospital, nursing home, or other appropriate location. Conduct initial and periodic assessments within required time frames of elders’ physical, social, emotional, and environmental status to determine needs. Complete all home visits and paperwork within the guidelines of EOEA regulation and Agency policy.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Develop a comprehensive service plan with elders, utilizing:Informal support (family, friends, clergy, etc.)Community resources (medical, legal, housing, etc.)Home care purchased servicesImplement a service plan through contact and coordination with support persons, resources, and home care provider agencies.Advocate for elders when necessary. Encourage elder’s participation in service plan implementation. Provide Information and Referral Services when needed. Refer elders to other appropriate programs, including Medicaid Waiver, Respite, and Managed Care in Housing or other available and appropriate resources.Maintain up-to-date client records, including progress notes and all other required forms. Complete and submit to the supervisor on a timely basis all home care forms, referral forms, and data entry documents as required by EOEA regulation and Agency policy.Provide translation between CBES staff and non-English-speaking clients as needed.Provide access to essential services to elders in the community by translation of functional needs to CBES Intake staff and other community service vendors.Provide translation of written material, e.g., brochures, letters, forms, etc., when needed.Complete, review and submit all statistical information and other administrative paperwork as required by Care Manager Supervisor and/or current Agency policy.Assist elders with housing issues, public assistance, insurance and financial benefits, long-term care admissions, legal issues, including identifying needs, locating resources and completing all applications and paperwork as necessary.Identify elders in at-risk situations, including abuse, neglect and financial exploitation. Report to and collaborate with appropriate crisis intervention agency, including Protective Services and Elders at Risk programs, to alleviate abuse, neglect and other crises.Coordinate service provision to elders, including collaboration with vendors, health care providers, and other human services agencies. Administer clustered service delivery, including completion of block service authorizations and facilitation of site meetings on a regular basis. Participate in Quality Assurance process of home care service delivery in accordance with EOEA regulation and Agency policy, including peer Care review and home visits. Provide feedback on vendor service provision for annual audits. Update professional skills, knowledge of community resources and gerontological issue Keep informed of all current Agency and EOEA regulations, policies and procedures. Attend all required meetings and training. Complete other tasks as periodically assigned by Agency administration.Preferred Languages - Spanish, Cantonese Mandarin Other duties as assigned.QUALIFICATIONS:
Bilingual Care Managers must be fully fluent verbally and written in English and in one of the following foreign languages: Spanish, and Russian.Excellent skills in observation, assessment, and problem-solving. Strong organizational skills, including the ability to manage time effectively to meet deadlines. Ability to handle diverse responsibilities and work independently.Good interpersonal skills, including the ability to relate with clients and administration, and the ability to collaborate in an interdisciplinary context.Effective advocacy skills, including understanding and sensitivity to cultural issues of the target client population. Basic knowledge of community resources and programs and the ability to empower elders in improving their quality of life.Ability to work in urban, multi-ethnic, and multi-racial neighborhoods.EDUCATION, SKILLS, AND EXPERIENCE:
Bachelor’s Degree, in Human Services, Social Work, Nursing, or equivalent experience and a minimum of three years' experience in the human services field, preferably working with elders. Must have a basic knowledge gerontological of issues.PHYSICAL REQUIREMENTS OF THE JOB:
Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.Ability to climb stairs.Ability to travel to the community to perform visits at consumers’ homes.Work requires regularly standing, stooping, and bending.
POSITION SUMMARY:
The Protective Services Case Aide works under the supervision of the Protective Services Trainer/Supervisor. He/she will support the daily administrative tasks and assist PSWs as requested. Must be able to work in an environment that handles highly confidential matters. Although this position encompasses a high administrative component, he/she will be exposed to tasks assigned to PSWs. This role has been designed to provide him/her with the training required to transition to a Protective Services Worker.
Physical Requirements of the Job
General office environment.May have to lift up to 10-15lbs.Work requires regular standing, stooping, and bending. Read LessPOSITION SUMMARY:
The Geriatric Support Services Coordinator (GSSC) is the care manager assigned to work with SCO enrollees and is a member of the Primary Care Team (PCT). With the SCO Program Coordinator, the GSSC is responsible to coordinate and providing community social services to SCO enrollees in accordance with the SCO’s policies, procedures, and practices.
PRIMARY RESPONSIBILITIES:
1. As a member of the Primary Care team (PCT), participate in Initial and Ongoing Assessments of the health and functional status of enrollees and develop community-based care plans and related service packages necessary to improve or maintain an enrollee’s health and functioning
Arrange, coordinate, and authorize the provision of appropriate long-term care and social support services for enrollees (with the agreement of the PCT and in accordance with requirements set forth by the SCO). These may include, but are not limited to: ADL and IADL assist; Housing, Home-delivered Meals; Transportation.
Monitor the appropriate provision and functional outcomes of community long-term care services that have been authorized by the PCT.Track enrollee transfers and adjust service plan as deemed appropriate by the PCT and in accordance with requirements set forth by the SCO. Provide care management services via the telephone as requested by the SCO RN.Prepare documentation for enrollee files, agency database, and for the SCO Coordinator to submit to the SCO RN.Perform all services in accordance with state and federal law and written SCO management protocols, including timely entry of all information required to be included in Centralized Enrollee Records (CER).Maintain care management documentation as specified in the SCO care management protocols.Report suspected Fraud, Waste, and Abuse (FW&A) as required by CBES FW&A policy.Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches. Respond promptly to enrollee service requests.Attend and participate in PCT, agency, and departmental meetings and trainings as required.Other duties as assigned.QUALIFICATIONS:Bachelor’s Degree and two years of professional experience in case management, services coordination, outreach, and/or advocacy with persons over the age of 65 preferred.Ability to assess clients and their needs and knowledge of the community-based service network.Excellent interpersonal and problem-solving skills required.Ability to work with a diverse population and within a multi-disciplinary team.Access to a car is required.Knowledge of other languages preferred.Ability to walk stairs.Ability to carry a laptop and documents required to complete a home visit.Required Languages: Russian, Mandarin, Cantonese, or Chinese) Read LessPOSITION: Central Intake Specialist (Any Language)
DEPARTMENT: Home Care
DESIGNATION: Non-Union, Exempt
SUPERVISOR: Central Intake Manager
POSITION SUMMARY:
The Central Intake Specialist conducts assessments and assists individuals and families with developing comprehensive plans of care that promote safe and independent living in the community. Assessments can be performed in a number of different locations to help meet the unique needs of the individual. Discharge planning and providing options to support transitions from a community placement or hospital environment to the least restrictive setting are important features in trying to ensure the best outcome.
The Central Intake Specialist is a highly specialized expert, skilled at assessing an individual’s circumstances, determining their needs, and recommending appropriate services along the continuum of care. The Bilingual Central Intake Specialist is typically the first person in the agency to see an individual, oftentimes in an acute situation, and therefore must be especially resourceful in developing initial service plans. Due to the highly specialized nature of the position and the time constraints, this person does not carry a caseload. The Bilingual Central Intake Specialist will work in conjunction with case management teams to implement the plan of care promptly. Finally, the Bilingual Central Intake Specialist will be highly knowledgeable regarding services and programs offered by Central Boston Elder Services and the community. They will also provide support and education to individuals, families, and community partners regarding services, resources, and the appropriate referral process.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Complete visits to homes, hospitals, and other community facilities as referrals are assigned; discharge planning may be completed telephonically for referrals outside of the CBES catchment area when appropriate.Conduct comprehensive interview to identify goals, needs, and barriers to successfully remain (or return) to the community, including evaluating formal and informal supports available to the individual as well the environment to which the individual intends to reside.Complete appropriate assessments across the spectrum of programs offered by CBES, including but not limited to the Home Care Programs and MassHealth Programs such as Group Adult Foster Care.Develop comprehensive plans of care with the individual and other family, friends, community partners that incorporates that individual’s preferences and right to self-determination with full consideration given to the availability of resources.Collaborate with an interdisciplinary team comprised of CBES staff and community partners, including but not limited to nursing facility staff, to ensure the safety and appropriateness of care plans, as well as approval when appropriate.Make all necessary referrals to ensure the timely implementation of initial services and coordinate with care management teams to ensure the handoff of long-term responsibilities.Complete all data entry and documentation as required by EOEA and CBES policy and procedures.Continually develop and hone skills to advocate for consumers in a wide variety of situations.Must attain Certified Application Counselor status from Massachusetts Health Connector.Report suspected elder abuse as required by CBES policy.Report suspected Fraud, Waste, and Abuse of resources as required by CBES policy.Protect consumers’ Personal Health Information (PHI) and report any suspected security breaches by HIPAA regulations.Perform all services by state and federal regulations, funding guidelines, and CBES policies and procedures.Other duties as assigned.QUALIFICATIONS:
Must have demonstrated strong assessment skills.Effective client advocacy skills and the ability to empower elders as well as those with people with disabilities in improving the quality of their lives.ASAP and EOEA documentation experience preferred.Knowledge of Home Care and MassHealth Programs, as well as other community resources and and basic knowledge of gerontological issues preferred.Strong written, interpersonal, and presentation skills that convey a positive attitude and build relationships with clients and coworkers in an urban, multi-ethnic, and racially diverse environment.Must be organized and detail-oriented, possess strong time management and priority settings skills with the ability to handle diverse responsibilities and to work independently with minimal supervision. Must be capable of working with a high degree of independence, using good judgment to anticipate and resolve issues as they arise. Strong computer knowledge, skilled in Microsoft office programs, and proficient typing.Ability to work in a fast-paced and changing environmentA natural disposition to be flexible and collaborate unselfishly in a team-oriented organization.Fluency in one of the following foreign languages strongly preferred: Spanish.
EDUCATION, SKILLS, AND EXPERIENCE:
Bilingual Central Intake Specialist must be fully fluent verbally and in one of the following foreign languages: Spanish, Russian, Somalian, Chinese, Haitian/Creole or Portuguese Creole.A bachelor’s degree preferred in social work, human services, nursing, psychology, sociology or a related field ORA bachelor’s degree in another discipline with demonstrated experience and/or strong interest in the field of human services via previous employment.Two years of experience preferred in case management, service coordination, outreach or advocacy, discharge planning, and/or Community Housing OptionsPHYSICAL REQUIREMENTS OF THE JOB:
Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.Ability to climb stairs.Ability to travel to the community to perform visits at consumers’ home.Work requires regularly standing, stooping, and bending. Read LessPOSITION SUMMARY:
The Special Programs Support Coordinator provides support to the Special Programs' daily operations and participates in projects and staff training.
The Special Programs Support Coordinator works collaboratively with the Director of LTSS, Special Program's managers, Supervisors, and staff.
S/he promotes CBES’ mission statement, represents CBES in the community, and participates in outreach, workshops, events, and other activities in conjunction with the agency's Community Relations Department and Management Team as required.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
1. Assist Special Program management team with processing enrollment/dis-enrollment rosters and referrals submitted by BEI, SCO and One Care Plans, or other sources.2. Process Default agency change requests as required by the Consumer Sharing protocol issued by SIMS Support team.3. Complete all the data entry procedures for consumer program transfers.4. Complete all the data entry procedures for consumer case closing.5. Provide other administrative and data entry support to the Special Programs staff and management team.6. Update and maintain all Special Programs consumers’ databases in collaboration with all external data entry and data reporting tools provided by contracted plans. 7. Assist in researching and resolving SAMS electronic vendor invoicing posting errors.8. Respond to “on-call” by troubleshooting client issues and/or service issues as referred by Special Programs Care management staff.9. Maintain ongoing communication, provide prompt response to CBES contracted partners over the phone and designated email; communicate information in an efficient and courteous manner.a. Monitor daily process and/or communicate to the appropriate staff the following notifications from the SCO and One Care Plans: Potential enrollments and dis-enrollments.b. Hospital admissions and discharges.c. Request for the Frail Elder Waiver Evaluations.d. Request for services/ care plan changes submitted by the plans.e. Adaptive Equipment requests through the plan contracted vendors.10. Other notifications and requests were submitted by the plans for Special Programs staff. Provide logistical support to the Special Programs Management Team including but not limited to:a. Prepare information and reports for the Special Program Management Team as requested.b. Track and manage deadlines for projects and action items.c. Collaborate with other departments as necessary.d. Data clean-up.11. Create consumer files, file, archive, and dispose of paper documents as required by HIPAA, PHI, and CBES policies and procedures.12. Participate in the orientation and training of staff.13. Assist in the development, maintenance, and update of the Policy and Procedures Manual and training manual for the Special Programs.14. Organize and update resource information for the Special Programs staff. 15. Attend all Program Management meetings and training. 16. Perform other duties as assigned.QUALIFICATIONS:
1. Ability to work independently with minimal supervision.2. Experience in computerized business applications with the ability to create and maintain databases. 3. Strong verbal and written communication skills.4. Strong organizational skills, including the ability to manage time effectively to meet deadlines5. Attention to detail and ability to multi-task. 6. Experience in developing a strong working knowledge of a client database management system.7. Ability to keep up with changes and develop a strong working knowledge of changes in procedures and regulations for EOEA, CBES programs and other policies.8. Evidence of ability to maintain confidential information.9. Ability to work with a diverse staff. 10. Ability to work collaboratively as a member of a team.11. Ability to be flexible and willing to assist where and when neededPHYSICAL REQUIREMENTS OF THE JOB:
· Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.· Ability to climb stairs.· Work requires regularly standing, stooping, and bending. Read Less