At Tri-Valley Inc. we value our staff as much as our mission.  As we work to maintain the highest possible quality of life for our elder and disabled clients, we also strive to retain the most qualified staff members.  Qualified applicants of all backgrounds are carefully interviewed, references are checked and a criminal record check is part of our employment process.  Tri-Valley Inc. is an Equal Opportunity/Affirmative Action Employer.

Our employees enjoy a modern work space in a renovated mill building in Dudley, Massachusetts, central to our service area.  Our location is convenient to Interstates 290 and 395 and has ample, free parking.  Benefits available to eligible employees include:

  • *Health Insurance (Cigna Open Access Plus In-Network)
  • *Dental Insurance (Cigna PPO)
  • Long Term Disability Insurance (no cost to employee)
  • Life Insurance
  • Flexible Work Schedule (after successful completion of 90 day probationary period)
  • Working Remotely
  • Generous Paid Vacation (accrues up to 21 days)
  • Paid Sick Leave (accrues to a maximum of 30 days)
  • 12 Paid Holidays
  • Personal Time and Bonus Days
  • Merit Bonus
  • Employee Assistance Plan
  • Employee Wellness Plan
  • Pension Plan (agency contributes the equivalent of 5% of eligible employee’s annual salary into fund)
  • 403(b) Plan
  • 125 Plan/Flexible Spending Accounts
  • EyeMed Vision Care Supplementary Coverage
  • AFLAC Supplementary Coverage
  • Discounted Pet Insurance (Nationwide)
  • Digital Credit Union (DCU) Optional Membership
  • Travel reimbursement  50 cents per mile for work related travel

* Tri-Valley pays 75% of the monthly health and dental insurance premiums.

Current Employment Opportunities

  • State Home Care Choices Care Manager – The Care Manager works as part of the Choices/CSSM team to assist consumers with returning to the community from nursing home placement and manage a Choices caseload.  Responsibilities include:  Coordinate consumer’s services when transitioning into the community from a nursing home setting: Collaborate with CAE department and RN Manager on nursing home discharges, Choices care plans and extended care plans.; Develop service plan and supportive networks through contact with consumer, formal and informal supports, and consultation with supervisor;  Conduct initial assessments with consumers including social, emotional, physical and environmental status to determine needs; Work with Nursing Home Social Worker’s along with other participating agencies in discharge planning and attend discharge meetings; Manage the discharge process along with purchasing goods and services for transition; Coordinate a Choices level of services for consumers in the community which could entail 42+ hours up to 24×7;  Keep journal notes up to date, including changes/issues in services, including summary of telephone contacts, service changes, calls concerning consumer and keep files up to date;  Be able to work with multiple vendors/ coordinators to ensure authorized services are placed and resumed/suspended as needed in a timely manner;  Be able to organize in addition to quarterly visits, every other month visits for consumers who have care plans over 42 hours;  Assist consumer to obtain and utilize other community services such as: VNA, housing, fuel assistance, COA, etc.   Qualifications include:  Bachelor’s degree in Social Work, Human Services or related field; Valid driver’s license and/or reliable transportation; insurance verification and motor vehicle record check; Communication Skills with employees, consumers, physicians, state and federal agencies, family members, providers (telephone, email or in person, as needed);  Cultural competency and the ability to provide informed advocacy; Knowledge of home and community-based service systems and how to access and arrange services, MassHealth programs and public benefits (preferred); Familiarity with state-wide health care network (preferred); Computer acuity: software: Windows, Excel, Power Point, Outlook; Maintain caseload/production at program/department standards.
  • Nutrition Center Coordinator – Northbridge – (Monday – Friday 8:00AM to 1:00 PM or may be revised by the site) The Nutrition Center Coordinator is responsible for the day-to-day operation of the nutrition center.  Responsibilities include:  Take reservations, order meals and supplies, monitor site meal waste daily; Maintain accurate record keeping system for the meal site and submit routine paperwork in a timely fashion; Recruit, train, oversee, recognize and schedule the duties of paid drivers, volunteers and Project Council members; Perform all duties related to safety and cleanliness of meal site and assure that all site help adhere to the regulations regarding safe food handling; Monitor participants’ comments on the program and coordinate annual food survey. Check on Meals on Wheels clients as necessary and perform community outreach; Maintain appropriate contact with the nutrition office staff and his/her supervisor to report problems, incidents, caterer errors, poor temperatures, etc.; Recruit and train sufficient substitutes, schedule coverage and be available to substitute at another site if necessary; Attend staff meetings and accept supervisor’s directions and training.  Qualifications include:  High School Diploma or equivalent; Communication Skills with consumers, employees, family members, caterers (telephone, email or in person, as needed); Coordinate schedules and assignments for volunteers; Ability to collect donations and make bank deposits; Motor vehicle and valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check; Capable of learning delivery routes and training volunteer drivers; Ability to be flexible and work in a fast-paced environment.
  • Meals on Wheels Drivers– Dudley & Franklin – Monday – Friday 9:00AM to 12:00PM every other week. Hours may be revised by the site. Basic Function: Responsible for one or two home delivered meal routes and related jobs at the Nutrition Center. Responsibilities include: Count and pack food trays for home delivery; Count and pack hot and cold food products into carriers; Monitor food temperatures during delivery; Deliver meals to homebound participants and maintain records for routes; Maintain paperwork and report any emergencies or changes in participant status to the Nutrition Center Coordinator or Meals on Wheels Coordinator; Clean meal delivery equipment daily; Other duties as assigned.  Qualifications: Must have valid driver’s license, insurance verification and motor vehicle record check: Must have a motor vehicle; Accurate record keeping skills; Ability to work well with elderly participants; Ability to learn delivery routes and capable of training other drivers; Able to maintain confidentiality; Ability to climb/descend stairs and navigate potentially uneven terrain (walkways, driveways, etc.); Ability to lift equipment up to 25 pounds.
  • Adult Family Care Case Manager The Case Manager provides social work and case management components in the Adult Family Care (AFC) Program. Responsibilities include: Completes Central Intake Form and Participant Referral form in a timely manner; Assists team nurses with completion of the CDS-HC Assessment Tool for new AFC referrals. Obtains Release of Information form signature at time of assessment; Facilitates and participates in making recommendations with respect to matching clients with caregivers at clinical team meetings; Facilitates and participates with team nurses in the development of plans of care for clients, giving attention to psychological behavior, social needs and discharge plans including transfer to another AFC home; Facilitates and participates in initial client orientation to program and initial pre-placement match visits. Provides ongoing follow-up with regular visits and more often if needed; After acceptance into the AFC Program, the Program Director and/or Social Service Caseworker advises caregivers/clients with respect to community psych/social resources. Makes referrals, coordinates and monitors services they receive, as needed. These services may include counseling, social day care, adult day health, workshops, transportation and other social needs; Obtains all necessary client financial information for each program according to orientation form; Discusses the program financial requirements with clients and families and provides initial teaching and on-going financial management assistance. Initiate referrals for rep-payee appointment, if necessary; Assists clients with making funeral arrangements and/or arranging burial accounts upon admission into the AFC Program and incorporates this into the written plan of care; Arranges alternate care for clients, including planned vacations and in emergency situations; Maintains an up-to-date record keeping system, with regard to the affairs of clients and caregivers. This includes written monthly progress notes and other communication as needed; Interviews and evaluates caregivers through home assessments to determine suitability of home and the potential caregivers’ abilities; Completes yearly caregiver evaluations in conjunction with the AFC RN and Program Director. Conducts evaluations with caregivers and obtains necessary signatures; Advocates for and completes all necessary documentation with respect to Social Security, Medicaid, SSI and post-eligibility application requirements, including Medicaid spend down and re-determinations, and taxes, if necessary.  Qualifications include:  BA/BS in relevant field is required; Bilingual (English/Spanish);  Must submit results of a physical exam completed within the past 12 months; Must submit documentation of a tuberculosis screening within the previous 12 months; Communication Skills with employees, consumers, physicians, family members, providers (telephone, email or in person, as needed); Communication Skills to include public speaking;  Motor vehicle and valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check; Computer Acuity; Ability to be flexible and work in a fast-paced environment; Maintain caseload/production at program/department standards.
  • Comprehensive Screening & Service Model RN – The CSSM RN makes on site visits to assigned skilled nursing facilities in Tri-Valley service area on a weekly basis. Conduct face to face visits with all identified consumers.  Responsibilities include: Identify, in collaboration with Skilled Nursing Facility (SNF) staff, Medicaid members/applicants; Identify barriers to discharge; Determine clinical eligibility for nursing facility services and issue eligibility notification; Coordinate with SNF/ASAP staff, consumer, and family to facilitate discharge when appropriate; Assist in implementation of plan of care; Attend case conferences when appropriate; Provide information on community resources to SNF, consumers and families; Coordinate and collaborate with ASAP team members including Care Managers, supervisors on the Interdisciplinary Discharge Planning Team; Complete the required CDS and CCTF tracking forms in the required time frame and submit them as directed.  Qualifications include:  Must have valid/current RN license in the state of Massachusetts; Must have minimum of two years of clinical experience; Communication Skills with consumers, physicians, family members, providers, state and federal agencies, ASAPs (telephone, email or in person, as needed) and employees; Cultural competency and the ability to provide informed advocacy; Knowledge of home and community-based service systems and how to access and arrange services; Knowledge and experience with long term care and social service delivery system; community resources; Familiarity with state wide health care network; Works as a member of a team and independently; Motor vehicle and valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check; Maintain caseload/production at program/department standards; Physical Demands include: Ability to traverse homes, yards and stairways; Must be able to sit for periods of time at computer or while driving; Must be able to carry files of up to 5 pounds and laptop; Frequent standing and walking.
  • Clinical Assessment & Evaluation RN – The Clinical Assessment and Evaluation (CAE) RN screens clients for Nursing Home, Adult Day Health, and 2176 Waiver eligibility. Assess clients for personal care. Provide nursing consultation to case managers, clients and providers of personal care.  Responsibilities include: 1. Do on site assessments for Nursing Home (SNF), Adult Day Health (ADH) and 2176 Waiver screenings as needed in our service area. 2. Assess clients for personal care and confer with Care Managers about the client’s total care plan. 3. CAE RN will have the ability to determine medical eligibility for all CAE screenings: SNF, ADH, 2176 Waivers, Enhanced Community Options Program (ECOP), and Community Choices. 4. Fill out the CDS RN 3 in SAMS to assess for personal care. 5. Monitor and supervise the appropriateness, frequency and quality of personal care service via an annual visit. 6. Attend meetings with providers, case conferences and be available for consultations as necessary. 7. In conjunction with care managers, CAE RN determines client appropriateness for specific service options, promotes cost effective service substitutions, and establishes the frequency, scope and duration of services. 8. Participates in assessment and interdisciplinary review of cases; consults with involved caregivers and documents findings. 9. Advocate for HC clients with HMO’s, VNA’s and MD’s. 10. Provides consultation to providers and other community agencies. 11. Maintains records and prepares reports as requested, including case summaries for Department of Medical Assistance hearings. 12. The CAE RN is responsible for maintaining collaborative relationships among community agencies and institutions that service medical and social needs of clients. 13. Perform, as needed, 2176 Waiver yearly re-determination via home visit or by contacting the CHHA or ADH for medical information. 14. Discuss with Care Manager as requested to determine type of respite service the client requires. When necessary, do a home visit and assessment. 15. Confers with Care Managers on all hospital discharged Personal Care (PC) clients. Makes home visits when necessary.  Qualifications include: 1. Must have valid/current RN license in the state of Massachusetts. 2. Must have minimum of two years of clinical experience. 3. Communication Skills with consumers, physicians, family members, providers (telephone, email or in person, as needed) and employees. 4. Communication skills with funders, state and federal agencies, ASAPs. 5. Knowledge of home and community-based service systems and how to access and arrange services. 6. MassHealth programs. 7. Knowledge and experience with long term care and social service delivery system; community resources. 8. Familiarity with state-wide health care network. 9. Motor vehicle and valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check. 10. Computer Acuity.
  • Adult Family Care RN – (Full-time and Part-time) The Adult Family Care RN provides elements of the nursing component of the Adult Family Care Program relative to the physical health of clients. Helps evaluate clients and caregivers and assist with program monitoring and helps to maintain placements.  Responsibilities include:  1. At the time of referral, completes the AFC Central Intake Form and Participant Referral Form.  2. Upon receipt of referral contacts the client’s primary care physician to obtain the physician’s clearance for participation in the program.  3. Completes assessments of potential long-term clients within two weeks of date of referral to determine eligibility.  4. Complete Minimum Data Set (MDS) and Prior Authorization Paperwork.  5. As a member of the AFC team, recommends suitability of clients for Adult Family Care.  6. As a team member, participates in the recommendation of client/caregiver matching.  7. Once a potential caregiver is identified, participates in initial match visits as needed.  8. Initiates and develops client’s medical portion of plan of care within one week of placement and submits them to client’s physician for recommendation and approval.  9. Makes arrangements for visiting nurse and hospitalization needs of clients, as required, to facilitate appropriate medical care.  10. Completes caregiver telephone intake form when a referral is made.
    11. In conjunction with the Case Worker, evaluates caregivers and makes home assessments to determine the suitability of the home and the caregiver’s abilities. Presents completed assessment to the team.  12. Performs the initial caregiver training related to the identified client and respite teaching as needed.  13. Participates in the planning and presentation of specialized training programs pertinent to the caregivers and participants, whether through quarterly trainings or in-home support.  14. Works cooperatively with other agencies in the health and aging network and represents the Adult Family Care Program as directed by the Program Director.  15. Participates in the Massachusetts Council for AFC in order to network with other AFC programs as directed by Program Director.  16. Advises caregivers and clients of community health resources (i.e.-ADH programs). Refers, coordinates and monitors the services they receive.  17. Makes scheduled monthly and emergency follow-up visits to clients and caregivers for on-going supervision, training, support and monitoring.  Qualifications include:  1. Have a valid Massachusetts RN License.
    2. Must submit results of a physical exam completed within the past 12 months.  3. Must submit documentation of a tuberculosis screening within the previous 12 months. 4. Must have at least two years’ recent experience in the field of elders or disabled adults. 5. Travel/reliable transportation required; Valid driver’s license, insurance verification and comply with Motor Vehicle Report requirements.
  • Care Transitions Coach – Part-time (20 hours per week) The Care Transitions Coach provides health coaching to the elder and caregiver at the transition between levels of care delivery, especially post discharge from acute hospitalization.  Responsibilities include:  1. Obtain a thorough knowledge and understanding of:  he Care Transitions Intervention model, The discharge planning process and methods; 2. Interact effectively with health care provider staff to address mutual needs. 3. Conduct onsite informational visits to clients referred and their caregivers.
    4. Arrange for timely home visit scheduling with clients referred. 5. Using the Transition Coach role, collaborate with client/caregiver: To address medication self management, to use the client-centered Personal Health Record, to obtain follow up appointments with primary care and specialist, and to obtain understanding of changes in condition and how to respond and to advocate for client/caregiver to ensure safe transition from one care setting to another. 6. Provide education to client/caregiver of importance for medication management.  7. Notify the Program Director promptly of potential adverse incidents which may require corrective action. 8. Provide accurate documentation of all client/caregiver interactions within program time frame guidelines. 9. Conduct follow up telephone contacts with client/caregiver within Program time frame guidelines. 10. Conduct an initial screening assessment to determine suitability for a Tri-Valley intake assessment visit for eligibility of community services. 11. Provide feedback to health care providers in accordance with Program guidelines. 12 Complete all required standardized Program forms for statistical and clinical reports.  Qualifications include: 1. Bachelor Degree in human services required. 2. Work experience in health care related field preferable. 3. Excellent interpersonal communication skills for effective behavioral change. 4. Professional ethical and confidentiality standards. 5. Communicate effectively through face to face, telephonic and electronic modalities. 6. Computer proficiency with agency software. 7. Valid driver’s license, insurance verification and comply with Motor Vehicle Report requirements. 8. Maintain program caseload according to performance standards.
  • PCA RN per diemThe Personal Care Attendant program (PCA) is designed to help people of any age with chronic illnesses or permanent disabilities and need assistance with personal care tasks who are living in a home environment. Per diem RNs are needed to conduct assessments for the PCA program. MassHealth requires standard documentation and complete assessments for all people applying for services. The assessment itself takes approximately one hour to conduct. Per diem RNs are paid $80.00 for each completed assessment. The Tri-Valley, Inc. service area includes 29 towns in the Worcester County and Milford areaDriver’s license, motor vehicle record check and minimum insurance requirements.

By email:


By mail:

Human Resources
Tri-Valley Inc.
10 Mill Street
Dudley, MA  01571

No phone calls, please.

Tri-Valley Inc. is an Equal Opportunity/Affirmative Action Employer.

Hiring a PCA or looking for work as a PCA – go to www.MassPCADirectory.org  The directory will put those needing PCAs in direct contact with PCAs looking for work.

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