The community health worker provides care coordination and connection to social services and community resources for people with medical and behavioral health needs. The community health worker is part of a care team that also includes nurses, licensed behavioral health clinicians, and a team administrator. The community health worker will develop new skills and knowledge in community resources, trauma and recovery skills, wellness coaching, and how to conduct an assessment and develop a care plan. 

The clinical care manager (RN) on the community partner team provides intensive care coordination for people with complex medical and behavioral health needs. S/he works as part of an interdisciplinary team and oversees the medical component of the comprehensive assessment and care plan for persons served.

The care coordinator helps adults with disabilities and/or complex medical needs arrange for medical care and social services. The care coordinator works as part of a Vinfen Long Term Services and Supports (LTSS) Community Partner team and will conduct outreach, perform social needs assessments, coordinate with other providers over the phone and support people in achieving their health and wellness goals. The care coordinator will learn about community resources, LTSS, how to conduct an assessment and develop a care plan, and how to provide wellness coaching.

The housing support specialist works with people who are experiencing homelessness or who are at risk of losing their housing to identify housing needs and preferences and helps them access or maintain housing. Positions available in Boston, Somerville and Lowell.

The Recovery Support Navigator (RSN) on the community partner team provides clinical care management and intensive care coordination for people with complex medical and behavioral health needs. The RSN specializes in supporting people with substance use disorders and serves as the team’s resource on substance misuse recovery and rehabilitation services. 

The Health Outreach Worker (HOW) provides care coordination, support, and wellness education for people with behavioral health challenges and complex medical needs as part of a contract with Commonwealth Care Alliance’s One Care program. The HOW partners with a licensed behavioral health clinician and works with people over the phone as well as in their home. 

The clinical care manager on the community partner team provides clinical care management and intensive care coordination for people with complex medical and behavioral health needs. The clinical care manager is a member of the interdisciplinary care team that includes nurses, community health workers, a team leader, and team administrator.

The community support worker provides intensive case management services to individuals who have mental health conditions and/or substance misuse. The community support worker will support people to implement their treatment goals and acquire the skills and resources needed to live independently in the community.