Job Opportunities

Administrative Assistant

General Purpose: Adult Family Care is a growing team of caring and skilled clinicians dedicated to providing quality nursing and social services to elderly persons and persons with disabilities in a home setting. The Administrative Assistant must be a highly detail-oriented and organized individual who is motivated to help this team fulfill its mission. This position reports to the Operations Manager.

Essential Functions:
• Call physicians to obtain required medical documentation to enroll and maintain members
• Act as a liaison between physician offices and staff regarding medical deadlines, required documentation, and testing
• Enter and update accurate client data in online databases and spreadsheets
• Send, receive, and maintain confidential client information via phone and fax
• Convey information in a clear and courteous manner without grammatical errors
• Promote compliance with program regulations, procedures, and guidelines through generating reports, reviewing client documentation, and other QI measures
• Create, organize, and manage client files
• Schedule and participate in department meetings and trainings
• Maintain office supplies
• Greet internal and external guests
• Demonstrate initiative with seeking out ways to enhance and improve workplace
• Assist with developing program materials (e.g., flyers, presentations, memorandums)
• Provide statistical support
• Perform other duties as needed and/or assigned

Qualifications/Basic Job Requirements:

Technical skills: Typing speed = 45 words per minute, proficient computer skills (MSWord, PowerPoint, Excel, and internet), ability to manipulate data (by creating graphs, sorting, filtering, etc.), quick learner on new technology, uses technology to enhance job performance
• Education and Experience: H.S diploma and 2 years experience in an administrative support role
• Experience maintaining confidential information
• Ability to prioritize and work on multiple tasks at the same time
• Maintains efficient work space
• Strong interpersonal skills
• Time management skills
• Exceptional writing and verbal communication skills
• Detail-oriented
• Bi-lingual in Spanish or Haitian Creole and customer service experience preferred

Certified Older Adult Peer Specialist

General Purpose: The Certified Older Adult Peer Specialist will use a person-driven, recovery-oriented approach to work with older adults with behavioral health conditions, both in short or long-term capacities.

Essential Functions:

• Meet with potential clients to determine suitability of peer support; make alternative or additional referrals as needed.
• Provide 1:1 peer support in the home or setting of client’s choice.
• Become knowledgeable of local resources and programs and make referrals as needed.
• Provide advocacy and support in domains commonly impacted by aging such as: housing, health, safety, and relationships.
•  Provide and arrange for crisis intervention services as needed.
•  Facilitate peer support groups, such as WRAP or Buried in Treasures, for clients and/or caregivers.
• Provide staff and community consultation on peer support, wellness and recovery.
•  Work with Director of Clinical Services and the Connect team members in assessing staff training needs and coordinating appropriate speakers.
•  Maintain timely and appropriate case documentation according to state regulations and agency standards.
•  Participate in client data entry, production of statistical reports, and accessing client information using SIMS and internal agency data entry requirements.
• Participate in Protective Services, Aging Information, AFC, State Home Care, Agency, Elder Affairs, or community meetings as required.

Qualifications/Basic Job Requirements:

• Peer Specialist or Recovery Coach Certification, preferably certification as Older Adult Peer Specialist.
• Experience working with older adults strongly preferred.
• Ability to effectively handle crisis or emergency situations.
• Ability to work well as part of a team.
• Experience working with individuals and groups.
• Fluency in a second language preferred.
• Valid driver’s license and ability to drive properly insured own vehicle.

CSSM Case Manager: Care Transitions/Home Care

General Purpose: The Comprehensive Screening and Service Model (CSSM) Case Manager is responsible for supporting specialized program operations or initiatives, working closely with nursing home staff to support transitions of care, and providing case management services to special client populations. This position supports the dignity and independence of older persons in need of assistance by assessing their situations, identifying unmet needs, arranging for, coordinating and monitoring services to meet those needs, and advocating with other agencies on behalf of the client.

Essential Functions: Establish presence at local nursing homes- visiting each 2-3x/month and as needed; work closely with nursing home staff, nursing home residents, and Somerville Cambridge Elder Services (SCES) nursing team to facilitate transitions of care.

• Conduct intakes in the hospital and/or nursing home to assess individuals for eligibility for Home Care programs, according to state, federal and Agency regulations and guidelines.
• Fill out designated assessment forms and complete follow-up care transitions phone calls.
• Work closely with SCES’s Options Counselors in establishing a presence at area hospitals.
•  Assist with ongoing development and implementation of Care Transitions programs.
• Provides case management for specialized client populations including maintaining a small complex care/Home Care caseload.
•  Create and utilize templates and blended services to streamline complex care and extended care planning. Works closely with SCES’s nursing team to achieve this.
•  Develop, implement, and revise, as needed, the plan of care according to state, federal and Agency regulations and guidelines.
•  Participate in multi-disciplinary care coordination meetings to recommend services and monitor the plan of care for quality and appropriateness.
•  Make referrals to appropriate programs and community resources as needed according to state, federal and Agency regulations and guidelines.
•  Maintain documentation for client records in an accurate, complete, confidential and timely manner according to state, federal and Agency regulations and guidelines.
•  Demonstrate working knowledge about human development including, but not limited to, physical, psychological, social and spiritual aspects of aging according to Agency guidelines.

Qualifications/Basic Job Requirements:

• A Bachelor’s Degree with at least one year of previous case management experience required.
• Eligibility for or possession of social work licensure for LSW or LSWA preferred.
•  Excellent communication, organizational and time management skills required.
•  Ability to work collaboratively as part of a team required.
•  Successful completion of introductory period in case management required.
•  Care Transitions, discharge planning, and/or Aging Services Access Point (ASAP) experience preferred.
•  Fluency in Portuguese, Spanish, Creole/French preferred.
•  Must meet both CORI/SORI and public health screening requirements.
•  Must be able to lift and carry up to 20 pounds.
•  Must be able to travel via public transportation or by car.

Senior Care Options Case Manager

General Purpose: The Senior Care Options (SCO) Case Manager is responsible for supporting the dignity and independence of older persons in need of assistance by assessing their situations, identifying unmet needs, and working with the SCO and Home Care Team to coordinate and monitor services to meet those needs. This position will oversee a SCO caseload which includes home visits and telephonic care coordination along with a small Home Care caseload.

Essential Functions:

• Assess individuals for eligibility for programs, according to state, federal and Agency regulations and guidelines
• Develop, implement, and revise as needed the plan of care according to state, federal and Agency regulations and guidelines
• Monitor the plan of care for quality and appropriateness according to state, federal and Agency regulations and guidelines
• Make referrals to appropriate programs and community resources as needed according to state, federal and Agency regulations and guidelines
• Maintain documentation for consumer records in an accurate, complete, confidential and timely manner according to SCO, state, federal and Agency regulations and guidelines
• Demonstrate working knowledge about human development including, but not limited to, physical, psychological, social and spiritual aspects of aging according to Agency guidelines
• As needed, provide intake, orientation and functional skills training needed to successfully manage the PCA Program for SCO enrollees
• Provide coverage for others as needed in the Home Care Department
• Comply with HIPAA and other state and Agency confidentiality requirements
• If bilingual, provide translation and interpretation for agency consumers and staff according to Agency guidelines

Qualifications/Basic Job Requirements:

• Bachelor’s Degree required
• LSW or two years’ experience working with older adults, at least one year of which must have been in a healthcare-related setting, required
• Previous ASAP, SCO, and/or case management experience preferred
• Excellent communication, organizational and time management skills required
• Ability to work collaboratively as part of a team required
• Successful completion of introductory period in case management required
• Fluency in Mandarin, Spanish, Portuguese, and/or Haitian Creole preferred
• Must meet both CORI/SORI and public health screening requirements
• Must be able to lift and carry up to 20 pounds

1. Must be able to travel to consumers’ homes via public transportation or by car
2. A member of a SCES-based Core Team must be accessible by phone, directly, or by coverage during normal business hours

 

 

Supportive Housing Coordinator/Case Manager

General Purpose: This position is responsible for managing State Home Care and Supportive Housing program services for residents of a local Supportive Housing site, along with State Home Care clients in the local community. This position provides linkage to needed support services for residents and works in partnership with the local housing authority (LHA) to advocate for residents’ needs. This position is responsible for supporting the dignity and independence of persons with disabilities and elders who are in need of assistance by assessing their situations, identifying unmet needs, arranging for, coordinating and monitoring services to meet those needs, and advocating with other agencies on behalf of the client.

Essential Functions:

• Meet with and assess building residents/referred elders to determine eligibility for the State Home Care Program and/or to Supportive Housing Program services.
• Provide case management to oversee and monitor services and care coordination for older adults in the State Home Care Program who reside in the Supportive Housing site and those in the community.
•  Collaborate with vendor agency staff to develop, implement, and coordinate flexible care services for all participants.
•  Manage provision of emergency and one-time only services as needed.
•  Participate in and/or facilitate care conferences with elders, family members, LHA, and community professionals as needed regarding care needs; provide and solicit advise about specific elder issues and available resources and resolve conflicts.
•  Perform outreach activities at the Supportive Housing site to promote the availability of Supportive Housing services.
•  Provide State Home Care services according to EOEA guidelines to all eligible building residents and elders in the community, including but not limited to case management, advocacy, coordination of services, SIMS/SAMS data management, compliance with EOEA and agency documentation standards.
•  Coordinate and conduct social activities for building residents; work with residents to assess residents’ interests and needs for social/recreational/community activities.
• Oversee an onsite meals program at the Supportive Housing site and be knowledgeable of community programs to help residents address any food instability issues.
•  Collaborate with building management and vendors to identify and resolve client/service issues and needs.
•  Be knowledgeable about the LHA application process, move in and out procedures, and rules and regulations for housing site. Assist building management as requested with service planning for residents who are relocating.
•  Disseminate information to residents by creating newsletter, calendars, and/or information flyers that include activities, events, and key contact information.
•  Maintain and if needed, create Memorandum of Understanding with the LHA that ensures a positive working relationship.
• Maintain confidential records, document clinical and service needs to meet EOEA/agency standards for case management services and billing needs.
•  Submit on a quarterly and annual bases to EOEA statistical and annual narrative reports reflecting status of Supportive Housing Program and activities.
•  Demonstrate working knowledge about human development including, but not limited to, physical, psychological, social, and spiritual aspects of aging.
•  Weekly onsite office hours at the Supportive Housing site.

Qualifications/Basic Job Requirements:

• Bachelor’s Degree required
• Excellent communication, organizational and time management skills required
•  Ability to work collaboratively as part of a team required
•  Strong leadership and group skills
•  Successful completion of introductory period in case management required
•  Aging Services Access Point (ASAP) and/or housing experience preferred
•  Must meet both CORI/SORI and public health screening requirements
•  Must be able to lift and carry up to 20 pounds
•  Must be able to travel to clients’ homes via public transportation or by car along with weekly office hours at the Supportive Housing site.
• Flexible schedule to include occasional evening and/or weekends.