Case Manager

Cambridge Nonprofit Coalition; Somerville (MA); On-site; USD 60,000 - 80,000; Full time

Job summary

Cambridge Nonprofit Coalition in Somerville, MA is seeking a Bi-Lingual Homecare Case Manager to conduct in-home assessments and manage individualized care plans for older adults in need of assistance. You will liaise with health care professionals, coordinate services, and ensure eligibility for Home Care programs.

The role requires a Bachelor's degree and experience in aging services or case management; bilingual skills (Vietnamese, Spanish, Haitian-Creole, or English) are highly valued.

Qualifications

• Bachelor’s degree required.
• Experience in aging services or ASAP/case management preferred.
• Ability to work independently and in interdisciplinary teams.
• Strong communication, organization, and multitasking in a fast-paced environment.
• Proficiency with Adobe, MS Word, Excel, SharePoint, and Microsoft 365; WellSky is a plus.
• Willingness to travel to consumer homes via public transportation or car.

Responsibilities

• Conduct in-person assessments in consumers’ homes to determine Home Care program eligibility and ensure that the consumer’s plan of care and services are appropriate and meeting needs.
• Develop, implement, monitor, and revise the consumer’s plan of care; make referrals for services and/ or other programs as needed.
• Participate in interdisciplinary case conferences on services, needs, recommendations for care, program eligibility, and care coordination.
• Maintain accurate, complete, confidential consumer records and required paperwork.
• Provide on-call coverage during normal business hours and participate in department meetings and trainings.
• Comply with HIPAA and other confidentiality requirements; assist with translation/interpretation as needed if bilingual.

Skills

Bilingual

Interdisciplinary teamwork

Time management

Communication skills

Microsoft 365

WellSky

Education

Bachelor’s degree

Tools

Adobe

MS Word

Excel

SharePoint

MS PowerPoint

Job description

Job Title

Bi-Lingual Homecare Case Manager

Reports To

Manager, State Home Care Programs

Department

Home and Community-Based Services

FLSA Status

Non-Exempt, Union

Position Summary

The Home Care Case Manager is responsible for supporting the dignity and independence of older persons in need of assistance by conducting assessments and ongoing case management to ensure needs are being met, care plans and program services are appropriate, and ensuring consumers meet Home Care program eligibility requirements. The Home Care Case Manager shall also work with consumers and Agency vendors to coordinate and monitor Home Care services to meet consumer needs. They will advocate on behalf of our consumers and through regular participation in interdisciplinary case conferences with Agency and other Home Care department staff involved in the consumer’s care.

Job Responsibilities and Performance Standards

• Conduct in-person assessments in consumers’ homes to determine Home Care program eligibility and ensure that the consumer’s plan of care and services are appropriate and meeting needs.
• Develop, implement, monitor, and revise as needed the consumer’s plan of care. Makes referrals for services and/or other agency and community programs as needed.
• Participate in interdisciplinary case conferences on the consumer’s services, needs, recommendations for care, program eligibility, and care coordination.
• Maintain documentation for consumer records and completion of required paperwork in an accurate, complete, confidential and timely manner.
• Participate in EOEA, Agency, and Departmental meetings and trainings as required.
• Comply with HIPAA and other State and Agency confidentiality and documentation requirements.
• Provide coverage for others as needed in the HCBS Department including but not limited to participation in the Department’s on-call system during normal business hours.
• Perform other duties as assigned including translation/interpretation assistance as needed if bilingual.

Professional Standards and Conduct

• Leadership: Ability to lead, inspire, and empower staff by demonstrating confidence and leadership presence. Passion and commitment to establishing and developing evidence-based programming for individuals to live in the setting of their choice with dignity and for as long as possible.
• Collaborative and Responsive: Regularly communicate, follow up, and use a team‑driven approach. Respond thoughtfully and promptly to agency needs, requests, and inquiries; identify and build partnerships with key stakeholders. Demonstrates excellent organizational and time management skills to meet various deadlines, ensuring closed‑loop communication. Ability to multi‑task and maintain flexibility to adapt and adjust workload assignments based on various needs.
• Communication: Skilled in verbal and written communication, demonstrating the ability to communicate information in various ways to meet diverse styles and cultural backgrounds.
• Analytical: Critical thinking skills, using logic and reasoning to identify the strengths and opportunities of alternative solutions, conclusions, or approaches to problems.
• Attendance and Punctuality: Dependable, punctual, showing flexibility when needed. Attends meetings as needed and is fully present and participates during those meetings.
• Commitment: Embodies SCES’s core values and shows great integrity, accountability, and professionalism in all interactions. Aids in furthering SCES’s mission and commitment to an inclusive environment.

Physical Environment

• Physical surroundings are comfortable with minimal exposure to injury or hazards.

Social/Psychological Conditions

• Occasional stress due to periodic or cyclical workload pressures and deadlines. Some interruptions involved.

Physical Effort

• Frequently sits, stands, walks, bends, reaches, and stoops throughout the day.
• Frequently lifts, pulls, pushes, and carries up to 20 lbs.
• Periodic eye strain and light ear strain.

Requirements

• Bachelor’s degree required.
• Previous Aging Services Access Point (ASAP) experience and/or other case management or customer service experience preferred.
• Experience working within an interdisciplinary team preferred. Must be able to work independently and collaboratively with diverse populations and as part of a team.
• Exceptional time management and organizational proficiency. Strong communication skills and the ability to multi‑task in a fast‑paced environment and ensure closed‑loop communications.
• Must be knowledgeable and comfortable using Adobe and MS Word, Excel, SharePoint, and other Microsoft 365 platforms. Experience with Wellsky a plus.
• Must be able to travel to consumer homes via public transportation or by car.
• Must be accessible by phone, directly, or by coverage during normal business hours.
• Must meet both CORI/SORI and public health screening requirements.
• We have an immediate need for Vietnamese, Spanish speakers and Haitian‑Creole speakers as well as English speakers.