Resource Specialist / 40 Hours / Day Shift / Mgh- Care Management (Cmhcb)

Partners Healthcare System Boston , MA 02298

Posted 1 week ago

Scope of Position:The Medicaid ACO and iCMP resource navigation teams have recently merged to build on best practices to advance health equity, improve health outcomes, and promote well-being of our MGH Primary care patients by addressing health-related social needs, system navigation, and care coordination as standard of care.The Community Resource Specialist (CRS) is an integrative part of the Integrated Care Management Program (iCMP) team at MGH. The role collaborates closely with the interdisciplinary care team to connect patients to resources, improve patients' access to care, and support patients to achieve optimal health and wellbeing. The position requires a high degree of flexibility, independence and willingness to participate in multiple activities and provide support to all members of the iCMP team. The CRS must have strong communication skills and the ability to converse comfortably with patients and their caregivers, practice staff and program staff and administration. The Community Resource Specialist will work with the iCMP team to ensure enrolled patients are receiving the services they need to achieve an optimum quality of life.Principal Duties and Responsibilities:
Research indicates housing, food, financial and other forms of socioeconomic insecurity, impact health outcomes. To improve our patients' health and wellbeing, the CRS works with adult patients within the iCMP to address patients' Social Determinants of Health needs.Research resources and programs available for patients and their caregivers including, but not limited to:*
  • * Public, subsidized and disabled housing assistance programs. * Legal, financial and insurance resources. * Durable medical equipment contractors and resources for general home safety equipment. * Support systems for patients and caregivers experiencing grief or bereavement. * Health education material, including hard and electronic storage system that is easily accessible for program staff.Work collaboratively with iCMP team to support patients. This may include, but is not limited to:*
  • * Assist with follow up patient support calls*
  • * Contact patients with memory or language barriers to remind about appointments and medication * Identify and refer to community services such as transportation, meals on wheels, day programs,volunteers and PCA.*
  • * Coordination referrals to internal and external resources, including home care, hospice, etc * Triage services requests and forward them to other program services, as necessary; i.e., Volunteer Escort, PatientFinancial Services*
  • * Follow with weekly calls to Skilled Nursing Facilities to update on patients' progress, as needed * Prepare and submit transportation applications and requests, as requested * Other projects and duties, as needed and specified by iCMP Care Team and/or supervisor * Patient escort, as neededPatient Education and Advocacy*
  • * Refer patients to resources which would include prescription drug programs, health & wellness programs, long term care insurance, health care proxy, asset and legal management, government programs, community agencies, public & private organizations, housing options and other services, as appropriate. * Advocate for patient to ensure the members' safety, physical, legal & financial well-being. Support their caregivers & quality of life goals and help navigate the healthcare delivery system.Patient Population Served:_X Medically Complex Adult (21 - 64)_ X_ Medically Complex Older Adult (65 yrs and up)Qualifications:* High School Diploma or GED required; Bachelor's Degree preferred * Human services experience and knowledge of community resources preferred. * Knowledge of hospital and healthcare systems preferred. * Bilingual candidates preferred but not requiredSkills/Abilities/Competencies Required: * Attention to detail and ability to comprehend and educate about systems with complex eligibility requirements. * Assessment and problem-solving skills. * Strong interpersonal skills. * Strong Customer Service skills that are effective across socio-economic cultural and racial and ethnic differences. * Ability to work independently * Goal oriented and accountable in a complex medical environment. * Demonstrated organizational and time management skills. * Strong oral and written communication skills. Good computer skills.Working Conditions:This position may require work and travel between office and main hospital or community health centers.Term:90 days standard
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    Resource Specialist / 40 Hours / Day Shift / Mgh- Care Management (Cmhcb)

    Partners Healthcare System