CCHP Behavioral Health - Nursing Facility Care Coordinator
Overview:
At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.
Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.
At Open Sky, you’ll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.
As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.
Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!
Benefits of Working for Open Sky Include:
- Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities
- Generous paid time off plan – you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)
- We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.
- Medical, Dental and Vision Insurance with Prescription Plan
- 403b Retirement Plan with Employer Match
- Life Insurance (100% Employer-Paid)
- Eligible employer for the Public Student Loan Forgiveness Program
- And more!
Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status.
Responsibilities:
The Central Community Health Partnership is a collaboration of premier human service organizations in Central Massachusetts that has been selected to provide Behavioral Health Community Partner and Long-term Services and Supports through the MassHealth program.Finding the right combination of services and knowing how to access them can seem to be an overwhelming task for those with Behavioral Health Challenges and Central CHP stands ready to help navigate the array of choices. The vision of Central Community Health Partnership is integrated care that ensures that every member receives the right care at the right time – making good health and wellness a reality, not a dream.
The BH Nursing Facility Care Coordinator, in collaboration with the Care Manager and Registered Nurse, will serve as primary point of contact for Nursing Facilities across our service area by providing outreach, engagement, assessment and person-centered treatment planning for individuals enrolled in the Central Community Health Partnership’s Behavioral Health (CCHP/BH) Community Partners Program.The BH Nursing Facility Coordinator will act as a liaison for all Skilled Nursing Facilities and build relationships that support enhanced coordination for individuals served.
Other Key Responsibilities:
- Develop and maintain relationships with all Skilled Nursing Facilities to ensure collaboration for individuals served.
- Develop and maintain relationship with MassHealth and Department of Mental Health. Attend meetings with MassHealth and Department of Mental Health as needed.
- Track all referrals made on behalf of members residing in skilled nursing facility. This includes referrals made by CP along with referrals made by Skilled Nursing Facility and other providers. Ensure information is captured in quarterly report to MassHealth.
- As individuals in Skilled Nursing Facilities become appropriate to transition back into the community, support the Skilled Nursing Facility to assist individuals in this transition.
Qualifications:
- High School Diploma/GED and/or applicable experience in community-based behavioral health support programs as a community health worker, peer specialist, or recovery coach may be substituted for degree.
- Valid Drivers License, reliable transportation and acceptable driving record, required.
- Community Health Worker (CHW) Certification Required. If candidate does not have an active CHW certification, must be willing and able to obtain within the first 6 months of employment.
- Must be knowledgeable in Skilled Nursing Facilities, dementia, and different layers of guardianship.
- Experience working with adults with developmental disabilities/geriatric population, experience with accessing local resources, navigating health, behavioral health, and/or substance abuse treatment systems.
- Must have excellent communication, documentation, time management, and organizational skills.