Part Time Community Transition Liaison

Minuteman Senior Services • Burlington, MA

9d • $26 - $26 • Hybrid

About The Position

Under the supervision and guidance of the Community Transitions Supervisor, the Community Transition Liaison supports nursing facility residents (ages 22+) who want to consider transitioning to a community setting. This service includes both short-stay admissions and long-term residents. The program involves assisting to meet the unique needs of sub-populations, including those with criminal justice system involvement, behavioral health needs, specific diagnoses and individuals experiencing housing insecurity, and/or those who may require specialized referrals to state programs and supports and to other agencies for transition needs which are best met through other agencies.

Requirements

• Must be a self-starter and can work in a fast-paced environment with multiple interruptions.
• Must possess excellent time management and problem-solving skills, along with the ability to establish and maintain professional boundaries and manage multiple priorities.
• Must have accurate and fast data entry computer skills and experience using all Microsoft Suite programs.
• Ability to work well with people of all backgrounds, incomes, ages, races, and abilities (i.e., mental health, physical, cognitive, sensory).
• Willingness and sensitivity to work with individuals with complex health needs
• Strong interviewing and assessment skills
• Ability to listen and create person-centered plans
• Strong written and oral communication skills
• Ability to manage time in a fast-paced environment with many competing priorities
• Strong computer skills include data entry, management of electronic health records, and Microsoft Suite
• Must have reliable transportation and a valid driver’s license in good standing

Nice To Haves

• Familiarity with and/or willingness to learn about all relevant health and human service programs and agencies available
• Must possess knowledge of long-term care, case management, discharge planning, community resources, programs, and benefits to help an individual’s transition from an institution to a community setting

Responsibilities

• Supports nursing facility residents (ages 22+)
• Visits with residents to increase awareness of community support and services and introduce transition as a potential option
• Participates in resident and family conversations to inform options and transition plan
• Conducts assessments to determine eligibility and help with planning transition to the community
• Begins the process of gathering all necessary documentation and identification needed for application for housing and other public benefits
• Completes referrals to other programs and follows up on referrals to ensure timely transition
• Identifies individuals appropriate for CTLP based on resident’s desire to transition to community living environment, including use of PASRR portal to facilitate resident identification
• Participates and facilitates in discharge planning meetings with the consumer, family, nursing facility staff, and other agencies that will support the consumer in the community upon discharge
• Liaises with nursing and other professionals at the SNF
• Coordinates with state programs and teams
• Attends required meetings and completes required trainings
• Other duties as assigned

Benefits

• In accordance with the Massachusetts Wage Transparency Act, the pay range for this position reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and alignment with the role’s responsibilities.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed