Job Information
Greater Lynn Senior Services Home & Community Based Services Hospital Liaison in Lynn, Massachusetts
Join the GLSS Team and make a difference every day! GLSS is looking for talented and caring individuals to join our team.
Benefits: GLSS embraces the need for our Employees to have work-life balance and offers a generous benefits package that starts on your date of hire! Depending on your scheduled hours of work you may be eligible for:
Hybrid work schedule
Medical and Dental insurance
Health Spending Account (HSA)
Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance
12 paid holidays each year
15 sick days per year
2+ weeks of vacation starting year 1 and increasing with your years of service
403b Retirement Savings Plan with an Agency match
Agency paid life insurance
Agency paid long term disability (LTD)
Tuition Assistance after one year of employment
Mileage reimbursement
Employee Assistance Program to assist you in dealing with life challenges
Employee referral bonuses of up to $1,000
Travel Assistance Program - Free
Life Planning Services - Free
Optional benefits including Vision, Pet Insurance, for you and your family members, Accident Insurance, Critical Illness Insurance
Position Overview: The Home & Community Based Services (HCBS) Hospital Liaison is a key member of the GLSS care transitions team. This position operates in partnership with Agespan and Mass General Brigham (MGB) Salem Hospital. The HCBS Hospital Liaison will be based in Salem Hospital and will function as an integrated member of the hospital case management team to leverage collective expertise and skill to best support the discharge planning process. The liaison will also support patients in connecting to Home and Community Based services and manage complex service and support needs. The liaison will complete post-discharge assessments in consumers' homes in the community. As a member of the interdisciplinary GLSS Home Care team, the HCBS Hospital Liaison actively collaborates with the team to ensure the provision of person-centered services to older adults, people with disabilities, and their caregivers according to the Mission, Vision, and values of GLSS.
Position Responsibilities: Support the hospital's efforts in connecting individuals to Home & Community Based programs and services that support a discharge to the community. Attend Care Management team meetings. Comply with all hospital policies and procedures and adhere to all hospital protocols while on site at the hospital. Accept assignments from the hospital case management manager or designee. Outreach to and connect with assigned admitted patients and their families. Utilize the discharge planning tools currently used by the hospital. Identify any existing barriers to discharge and document in the electronic medical record (EMR). Initiate the ASAP enrollment if eligible, assessment and service authorization for patients newly referred to ASAP Home Care programs. Outreach to and connect with assigned patients once the patient is discharged home. Arrange a face-to-face visit once the patient is home to assess the home environment and social support. Assess the patient's functional, health and income status to determine eligibility and appropriateness for community long term care services or programs utilizing a standardized assessment tool. Complete a patient-oriented needs assessment to identify issues or problems that inhibit secure independent living at home to enable patients to remain in the community.
Qualifications:
Bachelor's Degree in social work, human services, or related field OR a bachelor's degree in another discipline and demonstrated experience and/or strong interest in the field of human services via previous employment, internship, volunteer activity and/or additional studies.
Candidates who have completed at least 50% of the coursework required for a bachelor's degree in an appropriate discipline shall be eligible for employment without a waiver contingent upon an agreement to complete the degree within a timeframe not to exceed three years.
Must be willing to obtain all immunizations as required by the hospital.
Must possess knowledge of person-centered case management, discharge planning, community resources, programs, and benefits to help support an individual's transition from an institutional to a community setting.
Must demonstrate a passion for supporting consumers in achieving their personal goals related to wellness and community living.
Possess the knowledge and skills necessary to work successfully in the interdisciplinary team and to provide or arrange for services.
Proficient in the use of computer systems, including but not limited to, Windows based software, Microsoft Word, Excel, Outlook, and PowerPoint.
Professional demeanor and ability to handle confidential materials with discretion
Must have reliable transportation and valid driver's license in good standing.
Bilingual skills preferred (Spanish)
Hours This position requires in-person presence in the hospital and community home visits 4-5 days per week. Full Time (37.50 hours), Monday through Friday. Hours based on hospital scheduling needs.
GLSS is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), disability or genetic information. GLSS will provide reasonable accommodations to applicants with disabilities upon request