About this role
Come join one of the area's largest employers!
See everything going on at LifeStream on our Facebook and Instagram page
Schedule is: Mon-Fri 8a-4p
Salary starting at $55,000
Resume must be attached to your application to be considered.
LifeStream is an equal opportunity employer
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Conduct required on-site visits with each AFC member and caregiver at the qualified setting in accordance with the member's AFC service level and applicable MassHealth regulations.
- Coordinate AFC referrals, intake activities, and preadmission assessments in collaboration with the AFC Registered Nurse and Director of Community and Family Services.
- Coordinate with MassHealth or its designated Public Assessor Option (PAO), when applicable, to obtain initial clinical assessment results and required authorization documentation.
- Obtain and review available medical, social, and psychosocial information to support appropriate AFC admission and ongoing service delivery.
- Obtain a comprehensive social history and conduct psychosocial evaluations of all AFC members in accordance with MassHealth requirements.
- Conduct initial and ongoing evaluations of the member's psychosocial status and appropriateness of the AFC placement.
- Participate in the development, implementation, and ongoing review of each member's AFC Plan of Care in collaboration with the member or responsible party, AFC Registered Nurse, caregiver, and other designated members of the multidisciplinary team.
- Ensure that the Plan of Care reflects the member's strengths, preferences, identified needs, goals, desired outcomes, and available community resources.
- Assist in developing measurable, person-centered goals and interventions that address the member's medical, social, emotional, and functional needs.
- Monitor implementation of the Plan of Care and identify concerns or changes requiring follow-up or multidisciplinary review.
Full job description available upon request.
Education/Experience
- Bachelor's degree in Social Work, Human Services, Nursing, or a 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.
QUALIFICATIONS AND REQUIREMENTS
To perform this job successfully, an individual must perform each essential duty satisfactorily. The requirements below represent knowledge, skill, and/or ability. Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions.
- Maintenance of an acceptable CORI
- Negative Drug Screening
- Valid driver's license
- Use of personal vehicle for work purposes