LTSS Care Coordinator-Eastern Boston and North Region

LTSS Care Coordinator-Eastern Boston and North Region

Justice Resource Institute (JRI) seeks a detail-oriented LTSS Care Coordinator for the Eastern Boston and North Region (Lawrence, Lowell, and surrounding towns). The LTSS Care Coordinator has a flexible schedule with a hybrid work model, occasionally in the office, and otherwise remote work. JRI is a Long-Term Services and Support Community Partner (LTSS CP) provider that partners with MassHealth contracted Accountable Care Organizations (ACOs) and Managed Care Organizations (MCOs) to promote coordination in the delivery and receipt of LTSS services to MassHealth members ages 3-21 with complex LTSS needs as a result of complex medical and behavioral health needs, intellectual and developmental disabilities. The role of the LTSS Care Coordinator is to provide outreach, care planning and coordination, care team facilitation and participation, support transition of care, provide health and wellness coaching, and connect engaged members with social services and community resources. The LTSS Care Coordinator will follow defined timelines in order to meet MassHealth requirements. The Care Coordinator is also responsible for documentation in the electronic health records system.

JRI PROVIDES THE TRAINING SO THAT :

• YOU will work in partnership with clients and their families to manage, negotiate, and collaborate with multidisciplinary teams with the goals of minimizing duplicative efforts, promoting integrated care, ensuring quality and continuity of care, and supporting the values of a person-centered LTSS care plan.
• YOU will be responsible for social needs assessment, LTSS care planning, care coordination, support in care transitions, and health and wellness coaching.
• YOU will engage in outreach to develop and manage community and social services connections.

REQUIREMENTS :

WHY JRI?

At JRI, we are committed to fostering a workplace where every team member feels valued and respected. We believe that a culture built on mutual respect, collaboration, and opportunity allows our staff to thrive and do their best work. By supporting one another and recognizing each person's contributions, we create an environment where people can grow, develop their skills, and make a meaningful impact in the communities we serve. JRI is an equal opportunity employer.