Service Coordination Entities Coordinator
Amerihealth Caritas•,
•Remote
About The Position
The Service Coordination Entities (SCE) Coordinator directly oversees and monitors external Service Coordination entities within the AmeriHealth Caritas Pennsylvania Community HealthChoices model of care. The role supports quality and performance, monitors delegated responsibilities, and works with external entities and internal teams to identify and address trends, inconsistencies, and opportunities for improvement. This is a remote role for candidates who live in Pennsylvania, with occasional travel within the state.
Requirements
- Bachelor’s degree.
- Minimum of 3 years working in a social services or healthcare-related field.
- Valid driver’s license.
- Experience working with people in need of LTSS.
- Knowledge of the home and community-based service system and how to access and arrange services.
- Experience conducting LTSS needs assessments and monitoring LTSS delivery.
- Ability to provide informed advocacy.
- Experience partnering with, influencing, and collaborating closely with external Service Coordination Entities or similar organizations.
- Experience assessing and determining the needs of external partners.
- Experience in contract compliance and oversight.
- Ability to interact professionally with healthcare professionals and state and community partners.
- Expertise and experience with Critical Incidents.
- Knowledge of Microsoft Office Suite, with an emphasis on Excel.
- Must live in Pennsylvania.
Responsibilities
- Conduct audits of external Service Coordination Entities.
- Facilitate training sessions with external Service Coordination Entities.
- Provide oversight of delegated responsibilities of external Service Coordination entities.
- Conduct monitoring calls and regular oversight meetings with external Service Coordination Entities’ leadership teams.
- Serve as a liaison between external Service Coordination and various internal teams.
- Ensure external Service Coordination Entities meet quality and performance metrics.
- Measure the effectiveness and efficiencies of external Service Coordination Entities and use trends to address inconsistencies and opportunities.
- Coordinate meetings between external Service Coordination Entities and the internal Utilization Management team for clinical and case consultation.
Benefits
- Flexible work solutions, including remote options and hybrid work schedules.
- Competitive pay.
- Paid time off.
- Paid holidays.
- Volunteer events.
- Health insurance coverage for the employee and dependents on Day 1.
- 401(k).
- Tuition reimbursement.
