Service Coordinator

Role Overview

As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.

Work Arrangement

• Remote
• Candidates must be able to travel throughout Allegheny county and surrounding areas in PA.

Responsibilities

• Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
• Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
• Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
• Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
• Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
• Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
• Works with the participant to complete activities necessary to maintain eligibility

Education and Experience

• Bachelor's Degree in social work, psychology, or related field is preferred
• 3+ years of social service (in lieu of a Bachelor's degree) or related healthcare experience that required the following:
  • working with people who need personal care services,
  • conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
  • knowledge of the home and community-based service system and how to access/arrange for services
  • maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests.
• 2 to 3 years of Case management experience

Licensure

• Valid and current driver's license

Skills & Abilities

• Must be computer proficient and have a working knowledge of MS Office specifically Excel
• High speed internet
• Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations

AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.Ideal candidates will have experience assessing those needingpersonal care services for instrumental daily living activities

AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.

We'd like to hear from you if you want to make a difference in people's lives.

Our Comprehensive Benefits Package

Flexible work solutions, including remote options and hybrid work schedules, Competitive pay, Paid time off, including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement, and more.