Bilingual GSSC - SCO MGB
| Verified Pay check_circle | Provided by the employer$51104.99 per year |
|---|---|
| Hours | Full-time |
| Location | Roxbury, Massachusetts |
About this job
Job Description
Job Description
The Geriatric Support Services Coordinator (GSSC) MGB is the care manager assigned to work with SCO enrollees and is a member of the Primary Care Team (PCT). With the SCO Program Coordinator, the Bilingual GSSC is responsible for coordinating and providing community social services to SCO enrollees in accordance with the SCO’s policies, procedures, and practices. (Senior Care Options Programs: United Health Care)
The Special Programs Department manages the following programs: Senior Care Options Plans (SCO), One Care Plans (OCP), and the Community Partnership (CP) under Accountable Care Organizations Partnership (ACO) and Blue Cross Blue Shield.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
- As a member of the Primary Care team (PCT), participate in Initial and Ongoing Assessments of the health and functional status of enrollees and develop community-based care plans and related service packages necessary to improve or maintain an enrollee’s health and functioning.
- Arrange, coordinate, and authorize the provision of appropriate long-term care and social support services for enrollees (with the agreement of the PCT and in accordance with requirements set forth by the SCO). These may include, but are not limited to: ADL and IADL assistance, Housing, Home-delivered Meals, and Transportation.
- Monitor the appropriate provision and functional outcomes of community long-term care services that have been authorized by the PCT.
- Track enrollee transfers and adjust service plan as deemed appropriate by the PCT and in accordance with requirements set forth by the SCO.
- Provide care management services via the telephone as requested by the SCO RN.
- Prepare documentation for enrollee files, agency database, and for the SCO Coordinator to submit to the SCO RN.
- Perform all services in accordance with state and federal law and written SCO management protocols, including timely entry of all information required to be included in Centralized Enrollee Records (CER).
- Maintain care management documentation as specified in the SCO care management protocols.
- Report suspected Fraud, Waste, and Abuse (FW&A) as required by CBES FW&A policy.
- Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches.
- Respond promptly to enrollee service requests.
- Attend and participate in PCT, agency, and departmental meetings and training as required.
- Other duties as assigned.
Education and Qualifications:
- Bachelor’s degree, preferably in social work, human services, nursing, psychology, or sociology.
- Three years working for an Aging Services Access Point organization with case management experience, with at least one year of supervisory experience is highly preferred.
- Strong analytical, verbal, and written communication skills.
- Excellent interpersonal and collaboration skills.
- Experience in team development and staff training.
- Proficient in Microsoft Office (Word, Excel) and database systems.
- Ability to interpret and apply relevant laws and regulations.
- Experience working with AGE preferred.
Preferred Qualifications:
- Knowledge of issues affecting the aging population and familiarity with aging services.
- Strong organizational and problem-solving skills are required.
- Excellent interpersonal, written, and verbal communication skills are required.
- Must be able to work with a diverse population and within a multi-disciplinary team.
- Must be familiar with the federal and state programs and local resources.
- Must have strong computer skills, including knowledge of Microsoft Office and SAMS.
- Prior experience working with MassHealth, SCO or One Care Plans, or other insurance plans is a plus.
- Understanding of HIPAA regulations and data privacy laws as they relate to client information.
Companies hiring mental health counselors
in Roxbury, MA
Nearby locations
Explore more mental health counselor jobs
in Roxbury, MA
Nearby Job Titles
Driver Jobs Radiologic Technologist Jobs Fast Food Preparation Worker Jobs Insurance Sales Agent Jobs Machinery Maintenance Worker JobsNearby Locations
Boston, MA Jobs Cambridge, MA Jobs Woburn, MA Jobs Lynn, MA Jobs Massachusetts JobsNearby Companies
DoorDash Jobs Cambridge Health Alliance Jobs ApexFocusGroup Jobs Care.com Jobs Delaware North JobsNearby Categories
Full-time Jobs Part-time Jobs Gig Jobs Posting ID: 1294884218 Posted: 2026-10-21 Job Title: Bilingual Gssc
Your Privacy Choices