Careers

Careers

Our goal is to hire a diverse group of talented individuals who are committed to the Agency’s mission of ensuring the safety and well being of elders and those with disabilities residing in the Greater Boston area.

If your passion is to join an organization where you can make a difference, have a positive impact on the lives of others, Central Boston Elder Services is the place for you!

DIVERSITY AND INCLUSION

Diversity at Central Boston Elder Services is not a goal, but rather a journey. It is an endless process identifying and incorporating differences in an ever-changing world. At CBES, we understand the importance of diversity and are passionate about the mission we have undertaken. Acknowledging and taking advantage of differences in who we are, how we think, how we contribute ultimately creates a workforce that is more productive and accepted in the marketplace.

Interested Applicants

We are committed to building a pipeline of talent. If you are interested in making a difference, please submit your resume for future consideration.

Please submit your resume here:
or via email to: hr@centralboston.org
Applicants may also submit via fax or mail. See below for details:

 

By Fax
617.277-5025

By Mail
Central Boston Elder Services
Human Resources Department
2315 Washington Street
Boston, MA 02119

CBES Benefits

The Benefits Package includes but is not limited to:

    • Blue Cross / Blue Shield Health & Dental coverage – effective first day of employment
    • Paid Vacation, Holidays, Personal, and Sick Days
    • Retirement Plan – 403B
    • Tuition Assistance
    • Short/Long Term Disability Insurance – Employer Paid
    • Life Insurance – Employer Paid
    • Health Reimbursements and Flexible Spending Accounts

Open Positions

To learn more, please review the list of employment opportunities outlined below.  to submit your resume.

Current open position(s)

POSITION: Accounts Payable/Accounts Receivable Staff

DEPARTMENT: Fiscal

SUPERVISOR: Accounting Supervisor/Controller

DESIGNATION: Non-Union, Non-Exempt

POSITION SUMMARY:

The Senior Accounting Officer maintains the Agency’s accounting records and establishes and monitors internal controls in accordance with generally accepted accounting principles.

ESSENTIAL JOB FUNCTIONS:

· Responsible for the Agency’s Accounts Payable functions, ensuring vendors are paid correctly in accordance with their terms and expenses are properly recorded.

· Manage collection of monthly requests for contract reimbursements using detailed Accounts Receivable information.

· Ensure proper application of payments against outstanding AR balances.

· Assist in the preparation of monthly account reconciliations.

· Integrate accounting software, tracking the budget to actual results achieved to provide timely financial reports to budget managers.

· Assist with the month-end closing process.

· Assist in preparing the Agency’s annual operating budget.

· Provide support during the annual financial audit and assist in preparing year-end tax return schedules.

· Ensure that internal controls are in place that protect the organization against fraud and provides assurances that the accounting records are accurate, complete, and meet the requirements of auditors.

· Prepare yearly 1099 Tax forms

· Assist and coordinate with AFC staff in creating and maintaining accurate AFC caregiver information.

EDUCATION, SKILLS AND EXPERIENCE:

· Bachelor’s degree in accounting and/or equivalent work experience/training.

· 1-3 years of related accounting experience

· Good General Ledger accounting skills.

· Knowledge and experience of Microsoft Office products.

· Excellent people and customer service skills in working with employees.

· Ability to analyze, prioritize and organize multiple work tasks to consistently meet deadlines.

· Ability to work independently with minimum supervision.

· Ability to maintain strict confidentiality standards.

· Attention to detail and accuracy.

· Ability to maintain harmonious working relationships with other employees and outside professionals.

· Ability to work collaboratively as a member of a team.

· Ability to function under pressure, in a fast-paced human service environment.

· Flexibility in responding to on-going system and Agency changes.

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’ home.

· Work requires regularly standing, stooping, and bending.

This job description is intended only to provide general guidance. It is understood that the position may evolve over time and that additional or different duties may be added at management’s discretion. It is the policy of CBES to review and update job descriptions annually; however, updates or revisions may occur within a given year as indicated.

POSITION: AFC Licensed Practical Nurse (LPN)

DEPARTMENT: Nursing / Adult Foster Care

DESIGNATION: Non-Union, Exempt

SUPERVISOR: AFC RN Supervisor

POSITION SUMMARY:

The Adult Foster Care Licensed Practical Nurse (LPN), under the supervision of the Registered Nurse (RN), screens AFC Member and Caregiver referrals and completes initial and periodic clinical assessments in the member’s home. Under the supervision of the Registered Nurse, the AFC Licensed Practical Nurse develops a comprehensive Plan of Care for each member with input from the AFC Care Manager, the member, and AFC Caregiver and provides individualized AFC nursing services to meet the needs of each AFC Member. S/he orients and trains AFC Caregivers and works collaboratively with the AFC Care Manager as part of a multidisciplinary team to meet the nursing and care management needs of AFC Members.

PRIMARY RESPONSIBILITIES:

1. Under the supervision of the AFC Registered Nurse, the Licensed Practical Nurse reviews each member’s current medical information and completes nursing assessments in the member’s home utilizing the Minimum Data Set (MDS) as required.

2. Coordinate other applicable clinical assessments as needed.

3. Under the supervision of the Registered Nurse, the LPN completes MDS and all applicable documents to determine the member’s AFC level upon admission.

4. Reviews member documentation annually and when there is a significant change in the status.

5. Under the supervision of the Registered Nurse, the LPN develops and reviews on an ongoing basis an individualized AFC Plan of Care for each member that meets the member’s identified medical, physical, emotional, and social needs as outlined by the program.

6. Under the supervision of the Registered Nurse, the LPN monitors each member’s health status and completes a nursing progress note for each visit and encounter and upon any meaningful change in the member’s status.

7. Report changes in the health status of any member to the member’s primary care physician.

8. Coordinate the implementation of physician’s orders with the member, the AFC Caregiver, the AFC Program Director, and the AFC Care Manager.

9. Report changes in the member’s condition to the member’s primary care physician.

10. Send a copy of the member’s updated AFC Plan of Care and a copy of the member’s semiannual health-status report to the member’s physician for review and approval.

11. Educate the member about hygiene and health concerns.

12. Assist with obtaining information and accessing other healthcare and community services, as needed.

13. Make referrals to appropriate service providers if a member requires health or social services other than AFC.

14. Under the supervision of the Registered Nurse, the LPN maintains a record of member incidents and accidents in the member’s file.

15. Provide timely responses to the urgent or emergency needs of members.

16. Under the supervision of the Registered Nurse, participate in developing an emergency backup and personal care contingency plan for each member that includes an alternative care plan for the member if the AFC Caregiver is temporarily unavailable or unable to provide care.

17. Periodically review AFC Caregiver logs.

18. Identify and report members in at-risk situations, including abuse, neglect, and financial exploitation to the designated entity.

19. Document member medical leaves of absence in the designated tracking form and file it in the member’s record.

20. Select, orient, train, supervise, evaluate, and support AFC Caregivers in conjunction with the AFC Care Manager.

21. Conduct an orientation for each AFC Caregiver before the AFC Caregiver begins personal care.

22. Provide and track ongoing AFC Caregiver training on health and aging to ensure that the AFC Caregiver receives a minimum of eight hours of training per year.

23. Under the supervision of the Registered Nurse, plans and coordinates member discharges from the AFC Program.

24. Represent the AFC Program and CBES in the community at large and on professional boards and committees, as appropriate.

25. Attend, participate in, and conduct agency and departmental meetings as may be required.

26. Participate in AFC Program and CBES outreach programs and events as requested.

27. Prepare and submit reports as requested by CBES management.

28. Perform any additional duties as assigned.

29. The LPN will be cross trained to assist HC with CP reviews, etc.

QUALIFICATIONS AND KNOWLEDGE:

1. Excellent skills in observation, assessment, and problem-solving.

2. Strong people skills, including the ability to relate with Members, AFC Caregivers, primary care physicians, other health care professionals, and other informal and formal supports.

3. Effective advocacy skills, including understanding and sensitivity to cultural issues.

4. Basic knowledge of community resources and programs for elderly and disabled persons.

5. Ability to utilize computer-based record-keeping and reporting systems to collect and analyze data. SAMS experience preferred.

6. Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.

7. Excellent verbal and written communication skills, strong presentation, and training skills.

8. Ability to function well under pressure in a fast-paced human service environment.

9. Ability to be flexible, open, and responsive to ongoing industry changes.

10. Ability to work with Members, Caregivers, and coworkers in an urban, multi-ethnic, and racially diverse environment.

11. Strong organizational skills.

EDUCATION, EXPERIENCE, AND OTHER REQUIREMENTS:

1. Experience working with the Elderly in Adult Foster Care.

2. Fully licensed by the Massachusetts Board of Registration in Nursing plus at least two years of recent experience in the direct care of elderly or disabled adults.

3. Must submit documentation of satisfactorily completing a pre-employment physical examination within the previous 12 months of the date of hire for the AFC Program.

4. Must submit documentation of tuberculosis screening within the previous 12 months of the date of hire for the AFC Program.

5. Must submit documentation of tuberculosis screening every two years after that.

6. Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.

7. Ability to climb stairs.

8. Ability to travel to the community to perform visits in Members’ homes.

9. Work requires regular standing, stooping, and bending.

ENVIRONMENT:

General office environment. Occasional travel to off-site locations.

This job description is intended only to provide general guidance. It is understood that the position may evolve over time, and additional or different duties may be added at the management’s discretion. It is the policy of CBES to review and revise job descriptions as needed.

POSITION:               Bilingual Care Manager 

DEPARTMENT:      Home Care 

DESIGNATION:       Non-Exempt / Union 

SUPERVISOR:         Home Care Team Manager 

POSITION SUMMARY:

The Bilingual Care Manager (BCM) is an essential member of the CBES Home Care Interdisciplinary Team. BCM works collaboratively with CBES Team RN and other members of the Interdisciplinary Team and interviews elders for Home Care Services to determine eligibility in home, hospital, nursing home, or different health care settings.  BCM conducts face-to face or telephonic assessments of elders’ physical, social, emotional, and environmental status within required time frames to determine elders’ unmet needs, identify elders’ goals, and develop a comprehensive service plan to support these goals. BCM completes all home visits and paperwork within guidelines of EOEA regulation and CBES policies.

 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Conduct initial and periodic face-to-face or telephonic assessments with elders as required by EOEA regulations and CBES Policies
  • Work collaboratively with the CBES Clinical Team, participated in joint assessment with Team RN as needed.
  • With elders’ participation, in collaboration with other members of the Interdisciplinary Team, develop and implement a comprehensive service plan utilizing:

Informal supports (family, friends, clergy, etc.)

Community resources (medical, legal, housing, etc.)

Home care purchased services

Other available resources

  • Coordinate service provision collaborate with vendors, health care providers, and other human services agencies to ensure service delivery as outlined by a comprehensive service plan, Personal Care plan, and other directives and preferences as stated by elders.
  • Participate in the hospital or Skilled Nursing Facilities discharge meetings as required.
  • Conduct wellness check phone calls and/or emergency home visits during emergencies to determine elders’ whereabouts.
  • Identify elders in at-risk situations, including abuse, neglect, and financial exploitation. Report to and collaborate with appropriate crisis intervention agencies, including Protective Services and Elders at Risk programs, to alleviate abuse, neglect, and other crises.
  • Act as an Advocate for the elders. Assist elders with housing issues, public assistance, insurance, and financial benefits, long-term care admissions, legal matters, including identifying needs, locating resources, and completing all applications and paperwork as necessary. Provide access to essential services to elders in the community by translation of functional needs to CBES Intake staff and other community service vendors.
  • 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 consumers’ records, including progress notes and all other required forms.
  • Complete, file, and submit for review on a timely basis all home care forms, referral forms, and other documents as required by EOEA regulation and the CBES policies.
  • Provide translation between CBES staff and non-English-speaking consumers as needed.
  • Provide translation of written material, e.g., brochures, letters, forms, etc., when needed.
  • Complete, review and submit reports, statistical information, and other administrative paperwork as required by the Home Care Management Team and/or current the CBES policies.
  • Participate in the Quality Assurance process of home care service delivery as directed by EOEA regulation and CBES policies, 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 issues.
  • Keep informed of all current CBES and EOEA regulations, policies, and procedures.
  • Attend Complex Case Review and Focus Group meetings.
  • Meet with CBES Behavioral Health Specialist
  • Attend all required meetings and training.
  • Perform other duties as assigned by CBES Management.

QUALIFICATIONS AND KNOWLEDGE:

  • Bilingual Care Managers must be fully fluent verbally and written in English and one of the following foreign languages
  • Must have excellent skills in observation, assessment, and problem-solving.
  • The position required strong organizational skills, including the ability to manage time effectively to meet deadlines.
  • Must be able to handle diverse responsibilities and work independently.
  • Good interpersonal skills, including the ability to relate with elders, caregivers, administration, and the ability to collaborate in an interdisciplinary context are required.
  • 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.
  • Must be able to work in urban, multi-ethnic and multi-racial neighborhoods.

EDUCATION:

  • A 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 of gerontological 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’ home and in other health care settings, such as nursing homes, Adult Day Health Centers, etc.
  • Work requires regularly standing, stooping, and bending.

POSITION: 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 promotes 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 in a timely manner. 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:

1. 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.

2. 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 will intend to reside in.

3. 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.

4. 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.

5. 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.

6. Make all necessary referrals to ensure the timely implementation of initial services and coordinate with care management teams to ensure handoff of long-term responsibilities.

7. Complete all data entry and documentation as required by EOEA and CBES policy and procedures.

8. Continually develop and hone skills to advocate for consumers in a wide variety of situations.

9. Must attain Certified Application Counselor status from Massachusetts Health Connector.

10. Report suspected elder abuse as required by CBES policy.

11. Report suspected Fraud, Waste and Abuse of resources as required by CBES policy.

12. Protect consumers’ Personal Health Information (PHI) and report any suspected security breaches in accordance with HIPAA regulations.

13. Perform all services in accordance with state and federal regulations, funding guidelines and CBES policies and procedures.

14. Other duties as assigned.

QUALIFICATIONS:

1. Must have demonstrated strong assessment skills.

2. 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.

3. ASAP and EOEA documentation experience preferred.

4. Knowledge of Home Care and MassHealth Programs, as well as other community resources and and basic knowledge of gerontological issues preferred.

5. 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.

6. 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.

7. Must be capable of working with a high degree of independence, using good judgment to anticipate and resolve issues as they arise.

8. Strong computer knowledge, skilled in Microsoft office programs, and proficient typing.

9. Ability to work in a fast-paced and changing environment

10. A natural disposition to be flexible and collaborate unselfishly in a team-oriented organization.

11. Fluency in one of the following foreign languages strongly preferred: Spanish.

EDUCATION, SKILLS, AND EXPERIENCE:

1. Bilingual Central Intake Specialist must be fully fluent verbally and one of the following foreign languages: Spanish, Russian, Somalian, Chinese, Haitian/Creole or Portuguese Creole.

2. A Bachelor’s Degree preferred in social work, human services, nursing, psychology, sociology or a related field OR

3. A Bachelor’s degree in another discipline with demonstrated experience and/or strong interest in the field of human services via previous employment.

4. Two years of experience preferred in case management, service coordination, outreach or advocacy, discharge planning, and/or Community Housing Options

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’ home.

· Work requires regularly standing, stooping, and bending.

This job description is intended only to provide general guidance. It is understood that the position may evolve over time and that additional or different duties may be added at management’s discretion. It is the policy of CBES to review and update job descriptions annually; however, updates or revisions may occur within a given year as indicated.

POSITION:     Geriatric Support Services Coordinator (GSSC)   

DEPARTMENT:       Special Programs

DESIGNATION:      Non-Exempt / Union

SUPERVISOR:         Sr. LTSS Manager

POSITION SUMMARY: The Geriatric Support Services Coordinator (GSSC) is a care manager assigned to work with SCO enrollees as well as serving as a member of the Primary Care Team (PCT).  In partnership with the SCO Program Coordinator, the GSSC is responsible for coordinating and providing community social services to SCO enrollees as directed by a contract between CBES and SCO Plan, and in accordance with the SCO’s policies, procedures, and practices.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  1. As a member of the Primary Care Team (PCT), participate in initial, ongoing, Post-Hospital Assessments of the health and functional status of enrollees via face-to-face, virtually, and /or telephonically. GSSC is required to participate in varies types of assessments as outlined in the contract between CBES and respective SCO Plans.
  2. Work in collaboration with the other Primary Care Team members to develop community-based care plans and related service packages necessary to improve or maintain an enrollee’s health and functioning.
  3. Arrange, coordinate, and authorize the provision of appropriate long-term care and social support services for enrollees (with the agreement of the PCT and following requirements set forth by the SCO). These may include but not be limited to ADL and IADL assist; housing; home-delivered meals; SNAP assistance; transportation, Mass Health Recertification, and referrals to other community organizations.
  4. Monitor the appropriate provision and functional outcomes of community long term care services that have been authorized by the PCT.
  5. Track enrollee transfers and adjust the service plan as deemed appropriate by the PCT and per requirements set forth by the SCO.
  6. Provide care management services in-person or via the telephone and email as requested by SCO RN.
  7. Prepare documentation and enter assessments in the agency database (SAMS and SCO CERs).
  8. Perform all services following state and federal law and written SCO management protocols, including timely entry of all information required recording in Centralized Enrollee Records (CER).
  9. Maintain care management documentation as specified in SCO care management protocols and directed by the CBES contact with the SCO plan.
  10. Report suspected Fraud, Waste and Abuse (FW&A) as required by CBES FW&A policy.
  11. Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches.
  12. Respond promptly to enrollee service requests.
  13. Attend and participate in PCT, agency and departmental meetings, team meetings, and CBES training as required.
  14. Complete all training as required by the SCO Plan.
  15. Perform other duties as assigned.

QUALIFICATIONS:

  • Must have an ability to assess clients and their respective needs, in additional to having knowledge of the community-based service network.
  • Excellent interpersonal and problem-solving skills required.
  • Previous experience and a comfort level working with a diverse population of staff and a multi-disciplinary team.
  • Access to a car is required.
  • Knowledge of other languages preferred.

EDUCATION, SKILLS AND EXPERIENCE:

  • Bachelor’s Degree and two years of professional experience in Case Management, Service Coordination, Outreach and/or advocacy with persons over the age of 65 preferred.

PHYSICAL REQUIREMENT OF THE JOB:

  • Ability to lift and carry objects frequently weighing between 10-15 pounds.
  • Ability to climb stairs.
  • Ability to travel to the community to perform visits at consumers’ home.
  • Work requires regularly standing, stooping and bending.

POSITION: IT Support Specialist

DEPARTMENT: IT

DESIGNATION: Non-Union/Non-Exempt

SUPERVISOR: MIS Manager

POSITION SUMMARY:

Candidate must be technically skilled with good problem-solving ability and be a reference point for IT related queries at the user level, responding to user needs in a timely manner and ensuring the optimal running of systems, among other technical duties. Expected to display good interpersonal skills when interacting with colleagues at all departmental levels, listening to their technical needs, understand their problems, and implement solutions.

Responsibilities:

· Provide technical support to users and being the first point of contact for issue reporting

· Provide training to new employees and other training sessions as required

· Supporting our internal IT systems and infrastructure

· User Management including onboarding/offboarding

· Install, uninstall, configure, and troubleshoot hardware and software

· Performing tests and evaluations of new software and hardware

· Establishing good relationships with all departments and colleagues

· Create, analyze, report, convert, or transfer data, using specialized applications

· Managing technical documentation

Requirements:

· IT certification(s), degree in information technology or related field

· 2+ years of experience similar role

· Effective written and verbal communication skills

· Good problem-solving skills and attention to details

· Knowledge of hardware technology and concepts

· Expert level in Microsoft Office Applications

PHYSICAL REQUIREMENTS OF THE JOB:

· Ability to lift and carry objects frequently weighing up to 10 to 20 pounds.

· Ability to climb stairs, and may be require standing, stooping, or bending

 

This job description is intended only to provide general guidance. It is understood that the position may evolve over time and that additional or different duties may be added at management’s discretion. It is the policy of CBES to review and update job descriptions annually; however, updates or revisions may occur within a given year as indicated.

POSITION: Long-Term Support Services Coordinator (LTSSC)

DEPARTMENT: Special Programs

DESIGNATION: Non-Exempt / Non-Union

SUPERVISOR: LTSS Manager

POSITION SUMMARY:

The Long-Term Support Services Coordinator (LTSSC) is the Care Manager assigned to work with One Care Plan enrollees and is a Primary Care Team (PCT) member. The LTSSC is responsible for coordinating and providing community social services to One Care Plan enrollees in accordance with the plan’s policies, procedures, and practices. The LTSSC assists in promoting the plan enrollee’s independent functioning in the most appropriate, least restrictive setting.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • The Long-Term Support Services Coordinator (LTSSC) is a member of the Primary Care Team (PCT) and participates in Initial and Ongoing Assessments of the health and functional status of enrollees, including determining appropriateness for institutional long-term care services and developing community-based care plans and related service packages necessary to improve or maintain an enrollee’s health and functioning.
  • The LTSSC arranges, coordinates, and authorizes 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 plan. It may include but is not limited to ADL and IADL assistance, housing, home-delivered meals, and transportation.
  • The LTSSC monitors the appropriate provision and functional outcomes of community long-term care services, which the PCT has authorized.
  • The LTSSC tracks enrollee transfer from one setting to another (for example, hospital to home or nursing home to adult day health) and adjusts the service plan as deemed appropriate by the PCT and in accordance with requirements set forth by the plan.
  • The LTSSC participates in case conferences with the PCP, Nurse Care Managers, and representatives from other disciplines to identify the optimal care plan for plan members.
  • The LTSSC responds in a timely manner to enrollee service requests.
  • The LTSSC collaborates with the PCT, the enrollee, the designated representative, and community-based services providers to determine appropriate discharge plans after admission to an institution.
  • The LTSSC prepares documentation for enrollee files and ensures appropriate and timely entries and updates of enrollee information available in the Centralized Enrollee Record (CER).
  • The LTSSC has a working knowledge of SAMS and plans CER to enter and retrieve data.
  • The LTSSC performs all services in accordance with state and federal law and each written plan’s management protocols.

 

  • Report suspected Fraud, Waste and Abuse (FW&A) as required by CBES FW&A policy.
  • Protects Consumer’s Personal Health Information (PHI) and reports any suspected security breaches.
  • The LTSSC attends and participates in agency and departmental meetings and training as required.
  • Other duties as assigned.

 

QUALIFICATIONS:

  • Bachelor’s degree in social work or human services or at least two years working in a human service field with demonstrated experience working with the elderly/disabled population.
  • Previous experience with person-centered planning and per-centered direction training.
  • Must have knowledge and experience collaborating with people with disabilities, behavioral health needs, or elders needing LTSS.
  • Must have knowledge of the home and community-based service system and how to access and arrange for services.
  • Must have experience conducting LTSS needs assessments and monitoring LTSS delivery.
  • Working knowledge of cultural competency and the ability to provide informed advocacy.
  • Must be able to write an ICP and communicate effectively, both verbally and in writing, across complicated service and support systems and meet all the requirements of their CBO employer.

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 visit consumers’ homes.
  • Work requires regular standing, stooping, and bending.

This Job description is intended only to provide general guidance.

It is understood that the position may evolve over time and that additional or different duties may be added at management’s discretion. It is the policy of CBES to review and update job descriptions periodically, however, updates or revisions may occur as needed.

POSITION: Program Support Specialist (Any Language)

DEPARTMENT: Program Management (Designated Program)

DESIGNATION: Non-Exempt /Non-Union

SUPERVISOR: Manager (Designated Program)

POSITION SUMMARY:

The Program Support Specialist provides follow-up to a programs’ daily operations. The incumbent will participate in CBES projects and staff training as needed. S/he will work in

collaboration with the CBES directors, managers, supervisors, and staff. In addition, the Program Support Specialist will promote CBES’ mission statement and represents CBES in the community. S/he will participate 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. Maintain ongoing communication and provide prompt responses to CBES contracted partners and providers in an efficient and courteous manner.

a. Monitor daily correspondence and follow up appropriately as needed.

b. Monitor and/or communicate to the appropriate staff the following notifications from a variety of notification systems:

i. MassHealth Status changes

ii. Hospital admissions and discharges.

iii. Other changes that may impact consumers’ safety and well-being such as consumers’ health status, insurance coverage, informal support system, or living arrangement.

2. Assist program staff with:

a. Service implementation, closing, and care plan change requests submitted by the plan’s administrators and CBES staff.

b. Adaptive equipment requests through the plan contracted vendors.

3. Complete paperwork aligned with procedures for consumer program transfers.

4. Complete required procedures for consumer case closing.

5. Assist with resolving billing discrepancies.

6. Assist in researching and resolving SAMS errors.

7. Provide other follow up support to the program staff and management team.

8. Provide logistical support to the Program Management Team including, but not limited to:

a. Prepare information and reports for program Management Team as requested.

b. Collaborate with other departments, as necessary.

c. Assist with SAMS data clean-up.

d. Assist with wellness checks.

e. Assist with language translation (if applicable).

f. Assist with monitoring of uncovered cases.

g. Assist with scheduling ongoing routine assessments.

9. Upload attachments in consumer electronic files, file, archive, and dispose of paper documents, (as needed) per HIPAA, PHI and CBES policies and procedures.

10. Participate in the orientation and training of CBES staff.

11. Attend all Program Management meetings and trainings.

12. Perform other duties as assigned.

QUALIFICATIONS:

1. High school diploma required, college degree welcomed but not required.

2. Ability to work independently with minimal supervision.

3. Experience in computerized business applications.

4. Strong verbal and written communication skills.

5. Strong organizational skills, including the ability to manage time effectively to meet deadlines.

6. Attention to details and ability to multitask.

7. Experience in developing a strong working knowledge of a client database management system.

8. 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.

9. Evidence of ability to maintain confidential information.

10. Ability to collaborate with a diverse staff.

11. Ability to work collaboratively as a member of a team.

12. Ability to be flexible and willing to assist where and when needed.

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’ home.

· Work requires regularly standing, stooping, and bending.

This job description is intended only to provide general guidance. It is understood that the position may evolve over time and that additional or different duties may be added at the management’s discretion. It is the policy of CBES to review and update job descriptions annually; however, updates or revisions may occur within a given year as indicated.

POSITION: Protective Services Supervisor

DEPARTMENT: Protective Services

DESIGNATION: Exempt /Non-Union

SUPERVISOR: Protective Services Director

POSITION SUMMARY:

Direct supervision of Protective Service (PS) Workers to ensure that services provided in response to PS reports are in full compliance with Executive Office of elder Affairs (EOEA) regulations and agency policies. Provide and document ongoing consultation and direction to staff during investigations and at all critical case junctures. Ensure documentation and case determinations are entered appropriately into Harmony APS. Provide on-boarding training to all new Protective Services Workers (PSW), Protective Service Screeners (PS Screeners) and Protective Services Supervisors (PSS).

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

1. Responsible for training, motivating, providing support, consultation and supervision to the Protective Service Team.

a. Provide ongoing training for the first two to three months for PSWs and PSSs as needed.

b. Meet with Protective Service workers during regularly scheduled weekly supervisory sessions, and informally for consultation as needed.

c. Provide backup supervisions when regular supervisors are out.

d. Participate in 24-hour on call coverage as scheduled.

2. Complete all data entry and documentation as required by EOEA and Central Boston Elder Services (CBES) policies and procedures.

3. Conduct regular staff performance reviews and create corrective action plans as appropriate to ensure compliance with EOEA regulations and CBES policies and procedures.

4. Conduct quality assurance activities to include random case file review.

5. Assist in the development and implementation of any new policies and procedures.

6. Collaborate with Program Directors and Senior Management to assist staff with professional growth and career related goals development.

7. Identify program staff training needs with Program Directors and Senior Management to enhance staff skills and improve performance.

8. Participate in interviewing and making hiring recommendations.

9. Attend and/or conduct internal meetings as required.

10. Represent the agency in external meetings as required, including statewide EOEA Meetings.

11. Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches.

12. Work collaboratively with other staff members in a multi-ethnic and racially diverse environment.

13. Perform all services in accordance with State and Federal regulations and CBES policies and procedures.

14. Other duties and projects as assigned.

EDUCATION, SKILLS, AND EXPERIENCE:

1. Licensed Independent Clinical Social Worker (LICSW) or Licensed Clinical Social Worker (LCSW). A high-level professional degree desirable: Master’s degree from an accredited school in social work, psychology, counseling, human development, nursing or gerontology with at least two years of experience in areas of counseling, casework, case management providing protective or crisis intervention services to the elderly or a Bachelor’s degree from an accredited school in social work, psychology, counseling, human development, nursing or gerontology plus at least three years of experience in areas of counseling, casework, case management providing protective or crisis intervention services to the elderly .

2. Previous supervisory experience highly desirable.

3. Previous training experience highly desirable.

4. Effective client advocacy skills, the ability to empower elders and people with disabilities in improving the quality of their lives.

5. Must have demonstrated leadership ability, problem solving skills, strong interpersonal and team building skills for managing within a multi-ethnic and racially diverse environment.

6. ASAP and EOEA documentation experience preferred.

7. Strong written, interpersonal, and presentation skills that convey a positive attitude and build relationships with clients and coworkers.

8. 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.

9. Must be capable of working with a high degree of independence, using good judgment to anticipate and resolve issues as they arise.

10. Strong computer knowledge, skilled in Microsoft office programs, and proficient typing.

11. Ability to work in a fast-paced and changing environment.

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’ home.

· Work requires regularly standing, stooping, and bending.

POSITION:          Protective Service Supervisor

DEPARTMENT:  Protective Services

STATUS:               Exempt

SUPERVISOR:    Protective Service Manager

POSITION SUMMARY:

Direct supervision of Protective Service (PS) Workers to ensure that services provided in response to PS reports are in full compliance with EOEA regulations and agency policies. Provide and document ongoing consultation and direction to staff during investigations and at all critical case junctures. Ensure documentation and case determinations are entered appropriately into Harmony APS.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  1. Responsible for motivating, and providing support to the Protective Service workers (PSWs).
    1. Meet with PSWs during regularly scheduled weekly supervisory sessions and informally for consultation as needed.
    2. Review client cases, problem solve, and provide direction to PSWs.
    3. Monitor caseloads and ensure that PSWs are completing timely and thorough investigations.
    4. Ensure PSWs are appropriately assessing elders’ capacity and adhering to elders’ consent to the provision of protective services.
    5. Monitor investigations/assessments and approve service plans and goals.
    6. Participate in 24-hour on call coverage as scheduled.
    7. Serve as back-up supervisor to assigned PSWs/Intake Workers in the absence of their direct supervisor.
    8. Provide screening of PS reports and document all appropriate screening decisions.
    9. Adhere to all the regulations related to reportable conditions.
    10. Determine response status as emergency, rapid or non-emergency.
  2. Complete all data entry and documentation as required by EOEA and CBES policies and procedures.
  3. Monitor the timeliness, accuracy, and completeness of Investigations.
  4. Conduct regular staff performance reviews, and create corrective action plans as appropriate to ensure compliance with EOEA regulations and CBES policies and procedures.
  5. Conduct quality assurance activities to include random case file review.
  6. Assist in the development and implementation of any new policies and procedures.
  7. Participate in interdisciplinary case conferences and provide case consultation as needed.
  8. Collaborate with the program and senior management to assist staff with professional growth and career related goals development.
  9. Identify program staff training needs with program and senior management to enhance staff skills and improve performance.
  10. Participate in interviewing and making hiring recommendations.
  11. Participate in the training and orientation of staff.
  12. Attend and/or conduct internal meetings as required.
  13. Represent the agency in external meetings as required, including statewide EOEA Meetings.
  14. Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches.
  15. Work collaboratively with other staff members in a multi-ethnic and racially diverse environment.
  16. Perform all services in accordance with state and federal regulations and CBES policies and procedures.
  17. Other duties and projects as assigned.

EDUCATION, SKILLS AND EXPERIENCE:

  1. Licensed Independent Clinical Social Worker or other high-level professional degree desirable. Master’s degree from an accredited school in social work, psychology, counseling, human

development, nursing or gerontology with at least two years of experience in areas of counseling, casework, domestic violence or case management in a human services agency providing protective or crisis intervention services to the elderly or a Bachelor’s degree from an accredited school in social work, psychology, counseling, human development, nursing or gerontology plus five years of experience in areas of counseling, casework, domestic violence or case management in a human services agency providing protective or crisis intervention services to the elderly .

  1. Previous supervisory experience highly desirable.
  2. 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.
  3. Must have demonstrated leadership ability, problem solving skills, strong interpersonal and team building skills for managing within a multi-ethnic and racially diverse environment.
  4. ASAP and EOEA documentation experience preferred.
  5. Strong written, interpersonal, and presentation skills that convey a positive attitude and build relationships with clients and coworkers.
  6. 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.
  7. Must be capable of working with a high degree of independence, using good judgment to anticipate and resolve issues as they arise.
  8. Strong computer knowledge, skilled in Microsoft office programs, and proficient typing.
  9. Ability to work in a fast-paced and changing environment.

PHYSICAL REQUIREMENTS OF THE JOB:

  1. Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.
  2. Ability to climb stairs.
  3. Ability to accompany workers to home visits for observation and training purposes.
  4. Work requires regularly standing, stooping, and bending.

This job description is intended only to provide general guidance.   It is understood that the position may evolve over time and that additional or different duties may be added at management’s discretion.  It is the policy of CBES to review and revise job descriptions as needed.

POSITION:              Protective Services Worker

DEPARTMENT:       Protective Services

DESIGNATION:      Non-Exempt / Union

SUPERVISOR:         Protective Service Supervisor

POSITION SUMMARY:

Receive and investigate reports of elder abuse and self-neglect.  Provide consultation and referrals as necessary.  Complete comprehensive assessments of the elder’s needs, risks and capacity to make decisions.  Provide problem-focused, goal-oriented, short-term casework/counseling interventions to elders determined to be suffering from a reportable condition of abuse, neglect, financial exploitation and/or self-neglect. Ensure all documentation is entered into Harmony APS computer software in accordance with protective service regulations and agency policies.

 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  1. Receive case assignment of elder abuse and self-neglect and consult with PS Supervisor, as necessary for clarifications and directions.
  2. Complete comprehensive assessment of assigned case within 30 calendar days from date of referral.
    1. An emergency report will be responded to within 5 hours. Rapid Response reports within 24 hours. Non-emergency reports within 5 days.
    2. Assess elder’s capacity to consent to Protective Services.
    3. Contact relevant collaterals, as necessary.
    4. Consult with supervisor throughout investigation and on case opening.
    5. Continually assess and document elder’s level of risk and Capacity.
    6. Meet weekly, or more frequently if needed, with designated PS Supervisor to review cases, discuss case determinations, risk assessments, and changes in consumer status.
    7. Complete all case documentation as required by EOEA and CBES policies and procedures.
  3. Develop a Service Plan with PS Supervisor, and review with elder for consent, when appropriate.
    1. Develop and implement a service plan to which the elder has consented.
    2. Research, locate, and match services to elder’s needs and preferences utilizing the least restrictive, appropriate intervention.
    3. Enter written service plan into APS with timely revisions as required.
  4. Participate in 24-hour on call coverage as scheduled.
  5. Participate in receipt of intakes and entering intakes into APS in a timely manner.
  6. Represent the agency in external meetings as required, including statewide EOEA Meetings.
    1. Participate in regional and statewide PS meetings as necessary.
    2. Initiate and present PS community education trainings as necessary.
  7. Participate in relevant agency and EOEA trainings and keep informed of EOEA regulations and guidelines as necessary.
  8. Attend and contribute to department and Agency staff meetings.
  9. Protect consumers’ Personal Health Information (PHI) and report any suspected security breaches.
  10. Perform all services in accordance with state and federal regulations, and CBES policies and procedures.
  11. Other duties as assigned.

EDUCATION, SKILLS, AND EXPERIENCE:

  1. A Master’s degree from an accredited school in social work, psychology, counseling, human development, nursing or gerontology plus at least one year of experience in counseling, casework, or case management preferably in a Protective Services, domestic violence or crisis intervention capacity; OR a Bachelor’s degree from an accredited school in social work, psychology, counseling, human development, or gerontology plus at least two years’ experience in counseling, casework or case management providing protective, domestic violence or crisis intervention services.
  2. Prior experience working with elders preferred; sensitivity to elder issues required.
  3. Must demonstrate strong assessment skills.
  4. Effective client advocacy skills and the ability to empower elders as well as people with disabilities in improving the quality of their lives.
  5. Knowledge of Home Care and MassHealth Programs, as well as other community resources and basic knowledge of gerontology issues preferred.
  6. 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.
  7. 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.
  8. Strong computer knowledge, skilled in Microsoft office programs, and proficient typing.
  9. ASAP and EOEA documentation experience preferred.
  10. Ability to work in a fast-paced and changing environment.

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’ home.
  • Work requires regularly standing, stooping, and bending.

POSITION: Senior Long Term Support Coordinator (Senior LTSSC) (part-time)

DEPARTMENT: Special Programs

DESIGNATION: Non – Union, Non – Exempt

SUPERVISOR: Sr. Director of LTSS – One Care

POSITION SUMMARY:

The Senior Long Term Support Coordinator is the experienced care manager assigned to work with the One Care Plans enrollees. The Senior LTSC must be a highly specialized expert, skilled at assessing an individual’s circumstances, determining their needs, and recommending appropriate community resources, independent living options, peer support, and at-home services along the continuum of care.

The Senior LTSC works closely with the program management team. The program’s manager assists with the initial assessments, oversight, and management of complex cases and acts as backup coverage of vacant caseloads, special projects, and data management mentoring and training of LTSCs.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

1. Conduct a comprehensive interview and Initial Assessments of the health and functional status of the disabled community members referred to CBES by the One Care Plans. Initial Assessments must be conducted at the location preferred by the One Care member and the member’s support team.

2. As a member of the Primary Care Team (PCT), participate in re-assessments (Face-to-Face, Virtual, and Telephonic) of enrollees’ health and functional status and advocacy meetings as determined by the contract between CBES and respective One Care Plans Plans.

3. Work in collaboration with the other Primary Care Team members and develop community-based care plans and related service packages necessary to improve or maintain an enrollee’s health, wellbeing, and functioning. Provide information and referral services when needed.

4. Arrange, coordinate, and authorize the provision of appropriate long-term care and social support services for enrollees (with the agreement of the PCT and following requirements set forth by the OCPs). These may include but not be limited to assistance with ADL, and IADL needs, Housing, Home-delivered Meals, SNAP assistance, Transportation, Mass Health Recertification, and referrals to other community organizations.

5. Monitor the appropriate provision and functional outcomes of community long-term care services that the PCT has authorized.

6. Track enrollee transfers and adjust the service plan as deemed appropriate by the PCT and per requirements set forth by the OCPs.

7. Provide care management services in-person or via the telephone and email as requested by the One Care plan.

8. Identify elders in at-risk situations, including abuse, neglect, and financial exploitation. Report to and collaborate with appropriate crisis intervention agencies, including

Protective Services and Elders at Risk programs, to alleviate abuse, neglect, and other crises.

9. Maintain care management documentation as specified in OCPs care management protocols and directed by the CBES contact with the One Care plan.

10. Perform all services following state and federal law and written management protocols, including timely entry of all information required recording in Centralized Enrollee Records (CER).

11. Report suspected Fraud, Waste, and Abuse (FW&A) as the CBES FW&A policy requires.

12. Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches.

13. As required, attend, and participate in PCT, agency and departmental meetings, team meetings, and CBES training.

14. Complete all training required by the CBES, CMS, and OCP Plan.

15. Work closely with the CBES Training manager and provide mentor support and training to LTSSCs staff.

16. Provide backup coverage for vacant caseloads and home visits of other LTSCs as needed.

17. Provide backup coverage for the Program Manager as needed.

18. Attend and participate in CBES external collaboration projects and outreach activities.

19. Perform other duties and projects as assigned.

QUALIFICATIONS:

· Must have the ability to assess clients and their needs and knowledge of the community-based service network, Medicaid, Medicare, and long-term care programs available to the disabled community members in the City of Boston and CBES service area.

· Excellent written and oral communication skills.

· A proven track record in knowing the CMS regulations, One Care Plans requirements, business practices, and workflow.

· Good mentoring and leadership skills.

· Excellent interpersonal and problem-solving skills.

· Must have and ability to work with a diverse population with complex and behavioral health needs and within a multi-disciplinary team.

· Ability to function well under pressure in a fast-paced human service environment.

· Ability to be flexible, open, and responsive to ongoing industry changes.

· Computer knowledge with basic proficiency in Word, Excel, and PowerPoint.

· Must be organized and detail-oriented, possess strong time management and priority settings skills, handle multiple responsibilities and work independently with minimal supervision.

EDUCATION, SKILLS, AND EXPERIENCE:

1. Licensed Certified Social Worker (LCSW) a plus or a bachelor’s degree in social work, human services, nursing, psychology, sociology, or a related field with a minimum of two years of experience in the human services field, preferably working with disabled people adults.

2. Two years working in an Aging Services Access Point organization with demonstrated ability to manage complex cases strongly preferred.

PHYSICAL REQUIREMENT OF THE JOB:

· Ability to lift and carry objects frequently weighing between 10 and 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.

· Ability to carry a laptop and documents required to complete a home visit.

 

This Job description is intended only to provide general guidance.

It is understood that the position may evolve over time and that additional or different duties may be added at management’s discretion. It is the policy of CBES to review and update job descriptions periodically, however updates or revisions may occur as needed.

POSITION: Staff Registered Nurse

DEPARTMENT: Nursing – Home Care Program

DESIGNATION: Exempt /Non-Union

SUPERVISOR: Home Care Nurse Manager

POSITION SUMMARY:

The Staff RN is responsible for insuring that EOEA’s Interdisciplinary Case Management Standards are met. The Staff RN will conduct home visits to assess consumers’ functional health status. RN will determine eligibility and appropriateness for community services, and programs and coordinate services to clients.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

· In conjunction with team members determine client appropriateness for various Home Care programs and services and determines clinical eligibility for Medicaid funded programs and other related services and the frequency, scope and duration of services.

· Promotes coordination and cooperation with community agencies and institutions that provide medical and social services to clients and collaborate with those agencies in the formation of appropriate, cost effective, quality service plans and service substitutions.

· Participates in the interdisciplinary review and assessment of cases with Care Manager prior to and after each home visit as evidenced by documented Interdisciplinary Case Conferences.

· Conducts home visits to assess clients’ functional, health and income status to determine eligibility and appropriateness for community long term care services and programs and coordinate services to clients.

· Performs MassHealth screenings to determine clinical eligibility for specific programs. Assessments are conducted on time according to EOEA Regulation.

· Provides back up coverage as needed across all teams and programs in conducting home visits and community assessments.

· Provides consultation to caregivers, providers and other community agencies.

· Assists in problem solving as it relates to care management and consumer related issues.

· Conducts and participate in agency meetings, committees’, task forces, trainings and workshops as needed.

· Maintains electronic and other records and prepares reports as required.

· Provides back up coverage as request to the CSSM/CAE RN in assisting nursing facility resident’s return to the community in the least restrictive setting in collaboration with the CSSM CM and nursing facility staff by providing support and education regarding community service options for the MassHealth member/applicant, family members and caregivers.

· Consistently shares sound judgment when making clinical decisions and appropriately notifies healthcare providers of significant changes.

· Completes CDS with 90% accuracy based on random 10% audit.

· Consistently meets budgetary requirements for ECOP and Choices.

· Updates care plan and adds them to N Drive 100% of the time.

· Provides excellent customer services as evidence by lack of complaints.

· Maintain accurate google calendars at all times.

· Adheres to all HIPAA Regulations as evidenced by no complaints or reported incidents.

QUALIFICATIONS:

· Must possess a valid Massachusetts license to practice as a Registered Nurse.

· Minimum of three years clinical experience, one of which must have been in community nursing.

· Must have demonstrated leadership ability.

· Must be able to work effectively within a diverse team.

· Must be organized and detail oriented.

· Possess working knowledge of community resources and reimbursement systems for health and social services.

EDUCATION, SKILLS, AND EXPERIENCE:

· A Bachelor of Science degree in Nursing or Associates of Science degree in Nursing and at least (1) year of clinical experience and/or nursing in a community or long-term care setting. or

· A Diploma RN and two (2) additional years of community-based nursing experience or long-term direct care service experience.

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’ home.

· Work requires regularly standing, stooping, and bending