Administrative Assistant/Community Navigator at GMHC connecting individuals to legal and social services. Conducting comprehensive screenings and maintaining accurate client records in a supportive environment.
CA
Hybrid Community Based Waiver Service Coordinator – Duals Integrated Care, RN, LSW, LISW
Posted last month
About the role
- Manage and coordinate services for individuals who require long-term care support and are eligible for community-based waiver programs.
- Engage with member in a variety of community-based settings to establish an effective, care coordination relationship.
- Conduct comprehensive assessments to determine the needs of members eligible for community-based waiver services.
- Develop individualized service plans that outline the necessary supports and services aligned with the individual’s preferences and goals.
- Serve as the primary point of contact for members and their families, coordinating care across multiple providers and services.
- Facilitate access to necessary services such as home health care, personal care assistance, transportation, and other community-based supports.
- Regularly monitor the implementation of service plans and conduct follow-up assessments to evaluate effectiveness and adjust person-centered care plans as needed.
- Advocate for the rights and needs of members receiving waiver services and empower members and their families/caregivers to make informed decisions.
- Build and maintain relationships with healthcare providers, community organizations, and other stakeholders to facilitate integrated care.
- Lead and collaborate with interdisciplinary care team (ICT) to discuss individual cases, coordinate care strategies, and create holistic care plans.
- Provide education and resources to members and their families/caregivers about available services, benefits, and community resources.
- Maintain accurate and up-to-date records of member interactions, care/service plans, and progress notes; assist in preparation of reports and documentation for compliance.
- Respond to crises or emergencies involving members, coordinating immediate interventions and support as needed.
- Evaluate member satisfaction through open communication and monitoring of concerns or issues.
- Regular travel to conduct member, provider and community-based visits as needed and per the regulatory requirements of the program.
- Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by State law.
- Regularly verify and collaborate with Job and Family Service to establish and/or maintain Medicaid eligibility.
- Perform any other job duties as requested.
Requirements
- Nursing degree from an accredited nursing program or Bachelor’s degree in health care field or equivalent years of relevant work experience is required.
- Minimum of 1 year paid clinical experience in home and community-based services is required.
- Medicaid and/or Medicare managed care experience is preferred.
- Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel.
- Prior experience in care coordination, case management, or working with dual-eligible populations is highly beneficial.
- Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.
- Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers.
- Awareness of and sensitivity to the diverse backgrounds and needs of the populations served.
- Ability to manage multiple cases and priorities while maintaining attention to detail.
- Adhere to code of ethics that aligns with professional practice, including maintaining confidentiality.
- Decision making and problem-solving skills.
- Knowledge of local resources for older adults and persons with disabilities.
- Current and unrestricted license as a Registered Nurse (RN), Licensed Social Worker (LSW), or Licensed Independent Social Worker (LISW) in the State assigned is required.
- Case Management Certification is highly preferred.
- Must have valid driver’s license, vehicle and verifiable insurance. Employment conditional pending clearance of driver’s license record check and verified insurance.
- Employment in this position is conditional pending successful clearance of a criminal background check.
- Influenza vaccination is a requirement of this position; employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
- Must reside in the same territory they are assigned to work in; may be required to travel greater than 50% of time.
- On-call responsibilities as assigned.
Benefits
- In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
- We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
- Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
WS
We Are SocialWorking Student Community Management, Polish
Werkstudent:in Community Management engaging with community on social media for a global creative agency. Assisting in monitoring trends and collaborating with content teams.
FR
FFR - Fédération Française de RugbyAssistant Community Manager – 6-Month Internship
Assistant community manager for the French Rugby Federation, covering social media engagement and content creation. Analyzing performance and optimizing strategies within digital communication team.
IO
Integrated Services of Appalachian OhioCommunity Behavioral Health Worker
Community Behavioral Health Worker providing home and community services for individuals in Southeastern and Central Ohio. Working collaboratively to connect people to necessary resources and support their health.
EH
Essentia HealthCommunity Paramedic
Community Paramedic at Essentia Health providing care management and support for vulnerable patients in home settings. Collaborating with EMS and medical professionals to manage health outcomes.
II
iGaming IDOLCommunity Manager
Community Manager building and managing NEXT.io’s iGaming community across digital and physical channels. Engaging with professionals, and facilitating events and discussions.
ME
MedibankLocal Community Specialist
Local Community Specialist at Medibank providing exceptional service across multiple channels while coaching a diverse team. Focused on local community engagement and member health support.
Community Impact Network Program Lead overseeing strategic implementation of national and local initiatives. Engaging stakeholders and managing membership programs in Dublin, Ireland.
CB
Camden National BankCommunity Banker II
Community Banker II responsible for acquiring, developing, and managing consumer & small business loans at Camden National Bank. Engaged in community events and banking needs assessment.
CB
Camden National BankCommunity Banker II
Community Banker II responsible for developing consumer and small business relationships. Acquiring loans and deposits while fostering community connections in Maine.