Position Summary: This position is responsible for initial member assessments, reassessments, and ongoing case management of Senior Care Options (SCO) and One Care members in compliance with regulatory and agency guidelines.
Principal Accountabilities:
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Ensures that initial assessments for all members are conducted on a timely basis:
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Conducts a comprehensive evaluation to determine the full scope of members’ needs. Develops appropriate and cost effective service plans, consistent with member’s choice. Partners with SCO/One Care organizations and vendors to implement service plan.
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Assists with applications for public benefits and health insurance and problem resolution related to benefits.
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Manages cases on an ongoing basis:
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Conducts timely reassessments.
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Monitors clients for changes requiring adjustments to service levels.
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Communicates pertinent member issues and concerns to the Care Partner and/or Care Team.
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Supports member choice and fosters independence
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Assists clients with problem solving and makes referrals as needed.
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Assists with applications for public benefits and problem resolution related to benefits. Coordinates safe hospital and nursing facility discharges as needed.
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Collaborates with other programs and agencies.
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Conducts skills training for consumers enrolled in the personal care attendant program as needed.
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Ensures positive and professional working relationship with SCO/One Care and adherence to SCO/One Care guidelines:
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Provides assessment information to SCO/One Care organizations.
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Maintains ongoing communication with Care Team staff to optimize member care.
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Participates in regular interdisciplinary meetings, including meetings with primary care physicians.
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Documents phone calls, visits, and all activity in accordance with AGE, SCO, One Care, and agency requirements; maintains client records accurately and within the mandated timeframe.
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Participates in office coverage responsibilities on a rotating basis.
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Completes other duties as assigned.
Qualifications:
Education: Bachelor’s degree in human services or related discipline.
Experience: Two years working with disabled population and/or elders in need of supports and services.
Special Skills/Knowledge:
Excellent oral and written communications skills,
ability to effectively relate to a wide variety of personalities,
strong assessment skills,
basic computer skills,
organizational and time management skills,
ability to multi-task and work in a fast-paced, high volume work environment.
Knowledge of MassHealth, Medicare, and public benefits desirable.
Valid driver’s license and reliable transportation required.
EOE/AA/M/F/D/V
