Behavioral Health Care Partner & Care Coordinator

UMass Chan Medical School; Westborough (MA); On-site; USD 60,000 - 75,000; Full time

Job summary

UMass Chan Medical School seeks a Behavioral Health Care Partner Care Coordinator to manage PASRR-linked caseloads in nursing facilities. You will conduct regular resident visits, document clinical summaries, and ensure delivery of PASRR services while advocating for resident needs.

Travel statewide, coordinate with guardians and facilities, and participate in care planning meetings. Strong knowledge of social services and medical terminology is preferred; confidentiality and quality improvement

Qualifications

• Bachelor's degree in social work or related health/human services field, or equivalent.
• LPN with an Associate Degree (or equivalent) required?
• 2 years experience providing direct service, care coordination, or case management to adults with psychiatric disabilities, including at least 1 year in medical/clinical settings with medical terminology knowledge.
• Knowledge of social service/rehabilitation systems.
• Ability to travel statewide with valid driver’s license.
• Proficient with Microsoft Word, Outlook, and database applications.

Responsibilities

• Serve as a care coordinator for an assigned caseload of nursing facility residents.
• Conduct monthly in-person or virtual visits with each nursing facility resident and guardians, with at least one in-person visit per quarter.
• Review and document all relevant information including written clinical summaries into data system applications.
• Participate in quarterly nursing care planning meetings with the nursing facility.
• Advocate for residents to ensure needs are met.
• Ensure PASRR services are delivered to residents.
• Identify service gaps and propose solutions through innovative programming.
• Monitor clinical appropriateness of facility and community-based supports; address issues accordingly.
• Escalate concerns to the proper oversight authorities.
• Maintain individual records of encounters in data systems.
• Prepare responses to statistics and data requests.
• Foster continuity of care and partnerships with health care providers and facilities.
• Participate in public relations, conferences, and meetings as needed.
• Maintain confidentiality per HIPAA and organizational policies.
• Engage in performance improvement and quality assurance initiatives.

Skills

Care coordination

Case management

Travel statewide

Microsoft Office

Microsoft Word

Microsoft Outlook

Database literacy

Education

Bachelor's degree in social work or related health/human services field

Licensed Practical Nurse (LPN) with an Associate Degree

Tools

Database software

Job description

UMass Chan Medical School seeks a Behavioral Health Care Partner Care Coordinator to manage PASRR-linked caseloads in nursing facilities. You will conduct regular resident visits, document clinical summaries, and ensure delivery of PASRR services while advocating for resident needs.

Travel statewide, coordinate with guardians and facilities, and participate in care planning meetings. Strong knowledge of social services and medical terminology is preferred; confidentiality and quality improvement