Employment

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 (Harvard Pilgrim Health Care HMO and Harvard Pilgrim Health Care PPO)
  • *Dental Insurance (Guardian PPO)
  • Short/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)
  • 11 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)
  • Discounted BJs Wholesale Club Membership
  • Digital Credit Union (DCU) Optional Membership
  • Travel reimbursement  50 cents per mile for work related travel

* Tri-Valley pays 75% of the monthly HPHC HMO & Guardian dental insurance premiums, and 70% of the monthly HPHC PPO insurance premiums.

Current Employment Opportunities

  • FLOAT RN Mon. – Fri. 9am – 5 pm. Due to COVID-19 once hired, schedule will include both working in the office and working remotely temporarily. 

    The Registered Nurse (Float) completes assessments of consumers in their homes or other settings for Nursing Home, Adult Day Health, Frail Elder Waiver, and PCA eligibility. Provides nursing consultation to Care Managers, Skills Trainers, consumers/surrogates and providers of personal care.  Responsibilities include: Complete on-site assessments for Nursing Home (SNF), Adult Day Health (ADH), Frail Elder Waiver screenings, ECOP, Personal Care, and PCA services as needed in our service area to determine medical eligibility; Be knowledgeable of and comply with all state, federal and agency regulations, policies and procedures pertaining to the nursing programs including time frames and Tri-Valley’s agency mission;  Works collaboratively with identified case managers/skills trainers to determine client appropriateness for specific service options, promotes cost effective service substitutions, and establishes the frequency, scope and duration of services;  Assesses the consumer’s physical condition, cognitive condition, and resulting functional limitations to determine the consumer’s personal care assistance services amount of time required by the potential participant/consumer according to state guidelines through face-to-face interviews. Reviews fully with consumer before finalizing request for services; PCA specific: Inputs information on evaluations, re-evaluations, adjustments and any consumer/surrogate contact into the PCA software system. Conducts PCA assessments for adjustment requests either by telephone or face-to-face as needed.  Home Care specific: Completes the CDS RN 3 in SAMS to assess for personal care. Completes the standard assessment for those requiring Certified Home Health Services (CHHS) services. AFC specific: Conduct AFC initial assessments and reassessments as needed. Review and update care plans as necessary. Conduct home visit and telephonic follow up as needed. Qualifications:  Must have and maintain a valid/current RN license in the state of Massachusetts; Bi-lingual preferred (Spanish / English);  Must have minimum of two years of clinical experience; Regular and reliable attendance; Communicate with clients, co-workers, etc. both face to face and telephonically; Computer acuity; Valid driver’s license, own transportation, meet minimum insurance liability requirements and complete motor vehicle record check; Complete assessments within established program timeframes per program instructions; Ability to manage multiple tasks in a highly organized manner; Ability to “float” between departments on a regular basis with a high level of organization and flexibility.

    CAE RNMon. – Fri. 9am – 5 pm. Due to COVID-19 once hired, schedule will include both working in the office and working remotely temporarily.  The CAE RN screen 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:   Conduct on site assessments for Nursing Home (SNF), Adult Day Health (ADH) and 2176 Waiver screenings as needed in our service area; assess clients for personal care and confer with Care Managers about the client’s total care plan; 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; assess for personal care and monitor and supervise the appropriateness, frequency and quality of personal care service via an annual visit;  attend meetings with providers, case conferences and be available for consultations as necessary; 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;  participates in assessment and interdisciplinary review of cases; consults with involved caregivers and documents findings; advocates for HC clients with HMO’s, VNA’s and MD’s; provides consultation to providers and other community agencies; maintains records and prepares reports as requested, including case summaries for Department of Medical Assistance hearings; performs, as needed, 2176 Waiver yearly re-determination via home visit or by contacting the CHHA or ADH for medical information; discuss with Care Manager as requested to determine type of respite service the client requires; confers with Care Managers on all hospital discharged Personal Care (PC) clients. Makes home visits when necessary.   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 (telephone, email or in person, as needed) and employees.  Communication skills with funders, state and federal agencies, ASAPs.  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.  Knowledge and experience with long term care and social service delivery system; community resources.  Familiarity with state-wide health care network Motor vehicle and valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check.  Computer acuity.  Maintain caseload/production at program/department standards

  • LTSSC/GSSCMon. – Fri. 9am – 5 pm. Due to COVID-19 once hired, schedule will include both working in the office and working remotely temporarily. Basic Function: The LTSSC/GSSC is part of an Interdisciplinary Care Team that helps the enrollee with person centered integration of medical, behavioral and long term services and supports and provides case management services to Senior Care Organization (SCO) enrollees based on enrollee needs assessment. LTSSC Responsibilities include: Enter new referrals into SAMS from the various One Care programs; Completes home visits for enrollees and conducts an assessment to determine the need for long term services and supports and advocates on the enrollee’s behalf; Send the initial assessment to the various staff from each individual One Care, and update the One Care’s data base as applicable; Develops a care plan for community long term care and social support services for the Enrollee based upon their care needs with the goal to improve or maintain their health and functional status; Upon approval for the care plan from the One Care organization, arranges and coordinates the provision of appropriate community long term care and social support services; Enter and maintain the care plans in SAMS including adjustments to ongoing services and suspensions; Monitors the provision and effectiveness of community services as defined by the Enrollee’s care plan; Close cases immediately in SAMS upon loss of eligibility for One Care. GSSC Responsibilities include:  Enter new referrals into SAMS from the various SCO rosters; Performs an assessment of the health and functional status of the Enrollee residing in the home setting; Complete the assessment/s in the SCO database; Develops a plan for community long term care and social support services for the Enrollee based upon their care needs with the goal to improve or maintain their health and functional status; With authorization from the SCO, arranges and coordinates the provision of appropriate community long term care and social support services; Maintain the care plans in SAMS including adjustments to ongoing services and suspensions; Monitors the provision and effectiveness of community services as defined by the Enrollee’s care plan; Communicate and document with care team regarding case status; Close case in SAMS according to disenrollment date from the SCO Program; Qualifications include: Bilingual (English/Spanish)Bachelor’s degree in Social Work or Human Services and knowledge of the long term care and social services delivery systems; Experience and expertise in working with people with disabilities and or elders in need of LTSS; Strong computer acuity and documentation skills; Motor vehicle and valid Driver’s license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check; Communication Skills with consumers, physicians, family members, providers (telephone, email or in person, as needed).
  • PCA FUNCTIONAL SKILLS TRAINER   Mon. – Fri. 9am – 5pm. Due to COVID-19 once hired, schedule will include both working in the office and working remotely temporarily. The Skills Trainer provides elements of training for participation in the Personal Care Attendant Program relative to the social needs and psychological health of clients.  Responsibilities include: Be knowledgeable of and comply with all state, federal and agency regulations, policies and procedures pertaining to the PCM program including time frames and Tri-Valley’s agency mission; Completes PCA Key Facts sheet for every referral and adds information to the Log Sheet; Completes information on physician summary form and faxes to primary care physician for signature; Arranges intake visit with consumer and/or surrogate within ten days of receipt of referral; Notifies RN and OT when an intake visit has been completed and a RN/OT assessment is needed; Completes all required paperwork MassHealth application, Prior Authorization request and additional documentation) to submit on behalf of the consumer for MassHealth approval. Adhere to program timelines as outlined in the regulations; Inputs all consumer information into the PCA software program, and updates this information to reflect any communication or contact with the consumer, their surrogate or any other party; Visit the consumer and/or surrogate once the MassHealth approval is received to review the entire program, complete the Service Agreement and Fiscal Intermediary Paperwork; Visit the consumer at least quarterly in the first year of approval to review the program and services being provided and more often as needed or requested; Visit the consumer as necessary when an increase in hours is requested. Coordinate with the RN to provide an assessment when an increase is being requested; Obtain and complete appropriate documentation to submit to MassHealth for any increase in hours; Facilitate annual re-evaluation to include coordination with the RN beginning at the third quarterly visit; Complete required paperwork for ongoing approval/renewal of PCA services; Maintain telephone log of all calls received and returned; Attend PCA related events as directed by the Program Manager (quarterly FI meetings, PCA Coalition, etc.).  Qualifications:  Bilingual (English/Spanish); Communication Skills with consumers, employees, physicians, family members, providers (telephone, email or in person, as needed); Cultural competency and the ability to provide informed advocacy; Familiarity with state wide health care network.; Written communication skills; Demonstrated analysis and problem-solving skills; Meet deadlines in a timely fashion;  Able to develop and maintain positive effective relationships with providers, consumers, and the public; 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; Accurate record keeping skills; Knowledge of PCA program and or MassHealth programs and community supports; Computer AcuityMaintain caseload/production at program/department standards.
  • ADULT FAMILY CARE (AFC) RN – 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:  At the time of referral, completes the AFC Central Intake Form and Participant Referral Form.  Upon receipt of referral contacts the client’s primary care physician to obtain the physician’s clearance for participation in the program.  Completes assessments of potential long-term clients within two weeks of date of referral to determine eligibility.  Completes the Comprehensive Data Set-Home care (CDS-HC) Tool and Request for Services.   As a member of the AFC team, recommends suitability of clients for Adult Family Care.  As a team member, participates in the recommendation of client/caregiver matching.  Once a potential caregiver is identified, participates in initial match visits as needed.  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.  Makes arrangements for visiting nurse and hospitalization needs of clients, as required, to facilitate appropriate medical care.  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.  Performs the initial caregiver training related to the identified client and respite teaching as needed.  Works cooperatively with other agencies in the health and aging network and represents the Adult Family Care Program as directed by the Program Director.  Advises caregivers and clients of community health resources (i.e.-ADH programs). Refers, coordinates and monitors the services they receive.  Reviews client’s plan of care in conjunction with the primary care physician annually and semi-annually to coincide with the client’s anniversary date for accuracy and updates.  Monitors caregivers to make certain they arrange routine medical appointments and yearly physicals for clients. Makes scheduled monthly and emergency follow-up visits to clients and caregivers for on-going supervision, training, support and monitoring.  Qualifications:  Have a valid Massachusetts RN License.  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.  Must have at least two years’ recent experience in the field of elders or disabled adults.  Travel/reliable transportation required; Valid driver’s license, insurance verification, maintain minimum insurance liability on vehicle and comply with Motor Vehicle Report requirements.
  • AFC LPNThis is a full or part time temporary position, 21 – 35 per week for a three month period. The AFC LPN 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: Completes assessments of potential long-term clients and Minimum Data Set (MDS) under supervision of RN; 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; participates in the planning and presentation of specialized training programs pertinent to the caregivers and participants, whether through quarterly trainings or in-home support; works cooperatively with other agencies in the health and aging network and represents the Adult Family Care Program as directed by the Program Director; advises caregivers and clients of community health resources (i.e. ADH programs). Refers, coordinates and monitors the services they receive; maintain complete and accurate problem oriented records for each approved client. Maintains nursing documentation on potential clients; monitors caregivers to make certain they arrange routine medical appointments and yearly physicals for clients; makes scheduled monthly and emergency follow-up visits to clients and caregivers for on-going supervision, training, support and monitoring. Qualifications: Have a valid Massachusetts LPN License; 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; travel/reliable transportation required; Valid driver’s license, insurance verification and comply with Motor Vehicle Report requirements.

  • 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:

hr@tves.org

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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