AFC Care Manager - Coordinated Senior Care & Planning

LifeStream, Inc.; Fall River (MA); On-site; USD 50,000 - 61,000; Full time

Job summary

LifeStream, Inc. in Fall River, MA seeks a qualified professional to conduct on-site visits with AFC members and caregivers, coordinating referrals and preadmission assessments. You will collaborate with a multidisciplinary team to ensure compliant, person-centered care plans.

The role requires a Bachelor’s degree in Social Work or related field, experience with older adults or disabilities, and strong communication and organizational skills. Schedule is Mon-Fri, 8a-4p.

Qualifications

• Bachelor's degree in Social Work, Human Services, Nursing, or related field.
• Experience working with older adults or individuals with disabilities.
• Knowledge of care coordination and community-based services.
• Strong communication, organizational, and interpersonal skills.
• Ability to work independently and manage multiple cases.

Responsibilities

• Conduct on-site visits with AFC members and caregivers per MassHealth regulations.
• Coordinate AFC referrals, intake activities, and preadmission assessments.
• Coordinate with MassHealth or PAO to obtain assessment results and authorization documents.
• Review medical, social, and psychosocial information to support AFC admission and service delivery.
• Conduct social history and psychosocial evaluations per MassHealth requirements.
• Evaluate member psychosocial status and AFC placement suitability.
• Develop and review AFC Plan of Care with care team and family.

Skills

Communication skills

Organizational skills

Interpersonal skills

Independent work

Education

Bachelor's degree in Social Work or related field

Job description

LifeStream, Inc. in Fall River, MA seeks a qualified professional to conduct on-site visits with AFC members and caregivers, coordinating referrals and preadmission assessments. You will collaborate with a multidisciplinary team to ensure compliant, person-centered care plans.

The role requires a Bachelor’s degree in Social Work or related field, experience with older adults or disabilities, and strong communication and organizational skills. Schedule is Mon-Fri, 8a-4p.