Elder Services of the Merrimack Valley
  • 23-Nov-2021 to Until Filled (EST)
  • Managed Care
  • Danvers, MA, USA
  • Full Time


About Us: Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community. We are proud of our employees who make this possible every day. Our agency is a thought-leader, a nationally known generator of new ideas, because it welcomes creativity, your ideas. It is an outstanding place to work stimulating, friendly, collaborative. We offer competitive salaries, generous vacation time, and an excellent work/life balance. We value diversity and encourage career growth. If you have a passion for improving the lives of the elderly community and enjoy working in a diverse team driven by its mission, you've found the right place!

This position is partially remote for the foreseeable future

Position Responsibilities: The GSSC will conduct health and functional assessment for elders enrolled in Senior Care Organizations (SCO). The GSSC will also develop and monitor service plans to promote the client's overall health and independence. The GSSC will work with an interdisciplinary team to assure effective coordination and delivery of care in the member's home.

Essential Functions: (Core duties or tasks that are fundamental and not marginal to the performance of the job

  • Conducts initial and ongoing assessments on new members/enrollees and completes the required assessment tools and computer data entry.
  • Conduct field visits to assess an older adult's physical, social, emotional and environmental status to determine their eligibility and needs in their homes in accordance with contract compliance.
  • Collaborates with the SCO RNCM to develop community care plans.
  • Supports and advocates for person centered planning.
  • Arranges, coordinates and authorizes the provision of appropriate non-medical services.
  • Finds resources and services in the community that support members independence and wellness.
  • Monitors the outcomes of the developed community care plan.
  • Acts as a liaison between the SCO and many ASAP disciplines.
  • Participates in the organization and promotion of health-related programs and activities.
  • Attends Primary Care Team meetings and Member Discharge Meetings as required.
  • Participates in Team meetings, Managed Care Clinical Meeting, Managed Care Staff Meetings, and activities as a team member.
  • Work collaboratively within the team when difficult scenarios and issues arise within a teammate's caseload.
  • Other duties as assigned by Managed Care Program Manager

Qualifications: BA/BS in social work, human services or related field plus experience with Elders in a Health Care setting strongly preferred. Associates Degree with significant relevant work experience may be substituted for a portion of degree. Strong written, verbal, and computer skills necessary to work successfully in an interdisciplinary team required. Must have valid Driver's License and reliable transportation. Fluency in Spanish is required.

Hours: 37.5hrs


ESMV/NS is strongly committed to fostering a professional environment that recognizes, respects, and encourages the unique contributions of a broad spectrum of qualified employees. It is important that our employees reflect the diverse communities we serve. We maintain a work atmosphere that allows people of varied backgrounds to grow professionally and contribute to our mission by promoting diversity, equity, inclusion, and work-life balance.

Elder Services of the Merrimack Valley
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