Serving the Pioneer Valley, Western Mass
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UCP of Western Massachusetts

208 West St
Pittsfield, MA 01201

Company Description:
UCP of Western Massachusetts serves people with all types of disabilities, including Cerebral Palsy (CP). Our agency is dedicated to advancing the independence, productivity and full community inclusion for everyone we support. Our innovative programs are designed to serve children, adults and families. What sets UCP of Western Massachusetts apart is our approach — we are family focused and offer personalized services to meet the needs of each individual we serve.
Salary Range:Location:
$20.00 Per Hour AMHERST, MA
Job Type:Category:
Full TimeHuman Services
Education Level:Work Experience:
Bachelor's Degree
Preference: Required
Preference: Preferred
Social Work License - Preference: Nice to have
Experience working with elders or disabled persons - Preference: Preferred

UCP, a growing human services agency, works with people with disabilities and their families throughout western Massachusetts in their homes and in the community. Our agency provides a variety of services, including Agency with Choice, DESE, and In-home Supports.   

Service Navigator Responsibilities
The Pioneer Valley Service Navigator will administer the UCP’s Adult Family Care (AFC) contracts, MRC MassAbility (ABI/MFP and Supported Living) contracts, statewide Head Injury Program contracts and DDS Agency with Choice contracts. Responsibilities include navigation, documentation, weekly and monthly check-ins in compliance with the respective contracts’ regulations and guidelines. The goal of this role is to provide support, information and resources and navigation of the systems of care to families and caregivers of individuals with disabilities.


  • Plan, coordinate, and monitor AFC members including referrals to appropriate service providers, assistance for urgent or emergency needs of members,
  • Participate in the development, implementation, and ongoing review of the AFC plan of care for each member.
  • Conduct on-site visits with each member at the qualified setting bi-monthly (alternating with the bi-monthly visit by the registered nurse) for Level 1, and monthly for Level II. Complete a care-management progress note corresponding with each on-site visit or encounter and upon significant change.
  • Obtain a social history and conduct a psychosocial assessment and evaluation for each AFC member.
  • Select, train, evaluate and supervise AFC Caregivers in conjunction with the registered nurse (RN).
  • Conduct orientation training for each AFC Caregiver, and plan/implement the required 8-hour caregiver training.
  • Conduct initial and ongoing assessments of the AFC qualified setting.
  • Review and document the fire and safety procedures for the qualified setting and the monthly caregiver log.
  • ABI/MFP and Supported Living
  • Participate in the development, implementation, and ongoing review of the Supported Living Plan of Care for each member in Supported Living.
  • Make referrals to appropriate service providers if a member requires health or social services other than Supported Living. 
  • Provide direction to Adult Companions and In Home Support staff employed by UCP and provide feedback to the supervisor on performance.
  • Provide training for Adult Companions and In Home Support staff in a timely manner.
  • Oversee PCA program to ensure respective tasks are fulfilled by Personal Care Management (PCM) agency and member employer of PCA.
  • Provide surrogacy if requested when a member cannot independently manage their PCA program.

Agency with Choice

  • Administer the Agency with Choice Program in compliance with DDS regulations and guidelines. This includes creation of budgets, attending necessary ISP meetings, HCSIS documentation, supervision of staff, regular check ins with the family.
  • Use the goals and guidelines outlined in the ISP to address the individual’s needs.
  • Maintain contact with the families and the members as determined by their assigned contract units of service.
  • Support and empower families to develop leadership skills and offer timely and relevant advice and information to all regarding available resources.
  • Provide direct service navigation when needed.

All Programs

  • Maintain up-to-date caseload files and records of all contacts and services delivered and ensure the member binders are up to date.
  • Maintain all records for the program and complete care management progress notes as required. 
  • Submit paperwork as requested to meet program requirements.
  • Provide timely assistance and respond to urgent or emergency needs of the members. 
  • Report to the supervisor and participate in investigations of situations which in any way jeopardizes a member’s dignity, human rights and/or the agency.
  • Provide direct service to meet member’s needs in the absence of staff coverage.
  • Provide transportation, as needed for members.
  • Provide CPR and first aid to staff and members in the event of an emergency.

About Us:
As part of the UCP affiliate network, UCP of Western Massachusetts offers a variety of community programs and services for persons with disabilities and other similar service needs, including Assistive Technology, Early Intervention, Individual and Family Support, and Adult Family Care. UCP has offices in western Massachusetts and is COA accredited.  UCP of Western MA is guided by a set of core principles - Respect, Integrity, Communication, and Empathy. Our team is dedicated to providing a "Life Without Limits" for people with differing abilities, and we are seeking a motivated and talented individual who shares our commitment to these principles to join us in our mission. Learn more at http://ucpwma.org


Service Navigator Requirements

  • Bachelor’s degree and a Social Worker license in good standing with the Massachusetts Board of Registration in Social Work and at least two years recent experience working with elder or disabled adults or a bachelor’s degree and two years clinical experience in the care of elderly or disabled persons.
  • Analyzing data, effective listening, facilitating meetings, monitoring activities, planning and problem solving.
  • Knowledge of age-appropriate activities and behaviors, technical writing, defining issues and drawing conclusions, treatment modalities and assessments.
  • Knowledge of local community resources and community-based providers and programming.
  • Ability to maintain an Adult/Pediatric CPR and First Aid certification.
  • Ability to set up and maintain a home office.
  • Ability to work flexible hours as needed to meet the needs of members.
  • Proficiency with Microsoft Office/Office 365-word processing, email and database skills and remote applications such as Zoom.
  • Ability to work cooperatively and effectively in a team and positively represent UCP management.
  • Ability to demonstrate a conscientious and caring attitude.
  • Ability to effectively communicate in writing and verbally based on the needs of the audience.
  • Ability to manage time, prioritize and meet deadlines with minimal direction.
  • Ability to maintain confidentiality and privacy and show cultural competence.
  • A valid driver’s license, proof of insurance and the availability of a private vehicle
  • Negative Mantoux TB test or a clear chest x-ray.
  • Satisfactory CORI, SORI, DPPC, National Fingerprint background checks.

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Boxcar Media, LLC  • North Adams, MA 01247 •  Tel: 413.663.3384 • Email: info@jobsinthevalley.com