JOIN THE CHC FAMILY!

Community Health Connections (CHC) is a multi-site, non-profit health care center offering urgent care, primary family medical and pediatric care, preventative and restorative dental care, oral surgery, behavioral health services for children and adults, and substance use disorder treatment, and specialty services including optometry eye care, optical shop, acupuncture, nutrition consultations and podiatry. CHC is mission-driven, providing compassionate, quality health care regardless of income or health insurance status. CHC has five sites within Fitchburg, Gardner and Leominster with decades of experience as a Federally Qualified Health Center (FQHC), serving 36 communities in North Central Massachusetts.

Behavioral Health Care Management position will conduct comprehensive assessments and facilitate medication reconciliation with pharmacist and/or primary care team.

Major responsibilities:

• Conducts Comprehensive Assessments
• Facilitates medication reconciliation with pharmacist and/or primary care team.
• Engages members and care givers in active care planning with a focus on, medical, behavioral, social, member-centered care needs. Coaches and guides member/representative to meet bio/psycho/social care goals.
• Provide care coordination, which may include but is not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up
• May be required to meet members while they are inpatient to provide education and support about the discharge process and transition the member into care management.
• Travel throughout assigned area to engage members at their homes or other locations where the member may be located.
• Assesses the member’s knowledge of their medical, behavioral health and/or social conditions and provides education and self-management support based on the member’s needs and preferences.
• Connects members with primary care, behavioral health, flexible services, Community Partner, respite, and other community based social services as indicated and appropriate.
• In collaboration with Community Health Workers creates and maintains a comprehensive inventory of local community resources through a web-based application, improving accessibility for members and providers, and linking members with the appropriate support services.
• Participates in the integrated care team meetings and rounds as required.
• Maintain accurate, timely documentation in electronic systems including health center EHRs.

Minimum Qualifications:

• 2-3 years of Inpatient or Community Social Work experience providing patient-centered outreach, behavioral health services, needs assessment and support.
• Bachelor's Degree required, master's degree in psychology, Social Work or related field preferred.
• Licensed Clinical Social Worker (LCSW or LICSW), or Licensed Mental Health Counselor (LMHC), or Registered Nurse in the state of Massachusetts, preferred.
• Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Providers, Nurses, Community Health Workers, and other health care teams.
• Ability to flexibly utilize clinical expertise to solve complex problems.
• Bi-lingual
• Experience working with patients with chronic and behavioral health needs.
• Must be flexible and adaptable to change.
• Demonstrate the ability to work independently.
• Must demonstrate excellent interpersonal communication skills.
• Additional qualities that would be a good fit for our team include enthusiasm and passion for helping patients, genuine spirit, kind, and empathetic nature, and one who embraces a ‘go with the flow’ mentality.
• Experience using appropriate technology, such as computers, for work-based communication.
• Experience and proficiency with Microsoft Office and online record keeping.
• Experience working with a Medicaid population is strongly preferred.
• Experience working with Federally Qualified Health Centers is strongly preferred.
• A valid driver's license and provision of a working vehicle
• Experience with anti-racism activities, and/or lived experience with racism is highly preferred.

Benefits:

• 401k
• Generous vacation and personal time for eligible employees
• Sick time
• Medical, dental, and vision insurance
• 100% paid Life insurance/AD&D
• 100% paid Long-Term disability.
• Employee Assistance Program (EAP)
• Discounts on travel and entertainment!
• Discounts on cell phone service, computer purchases, and more!
• College Tuition Rewards/CMEs
• Company Events & Activities (Annual cookout and holiday party, health and wellness events,” Lunch & Learn’s”, team building, and more!)
• EyeMed Vision Care Program
• Accident & Cancer Insurance
• Educational development reimbursement
• Discounts on - gym membership, travel & entertainment tickets, electronics, and more!